ERIK PAUL LOGEN LARSEN

TOMAH, WI
NPI1720737240
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  21081-40)
Enumeration Date2022-03-22
Last Update Date2022-03-22
Business Address
Dr. ERIK PAUL LOGEN LARSEN PharmD
500 E VETERANS ST
TOMAH, WI 54660-3105
Phone number: 608-372-3971
Mailing Address
Dr. ERIK PAUL LOGEN LARSEN PharmD
606 E FRANKLIN ST
SPARTA, WI 54656-1921
Phone number: 608-633-7186