| NPI | 1790778967 |
|---|---|
| Doing Business As | LARSEN MAYER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND LARSEN President 262-658-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8019-42) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-10-06 |