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1720388416
LARRY A. LARSON
ELLENSBURG, WA
NPI
1720388416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph00014461)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
Mr. LARRY A. LARSON Pharmacist
400 N RUBY ST
ELLENSBURG, WA 98926-3152
Phone number: 509-962-5096
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Mailing Address
Mr. LARRY A. LARSON Pharmacist
400 N RUBY ST
ELLENSBURG, WA 98926-3152
Phone number: 509-962-5096
Copy
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