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1811664014
JAKOB LARZ SOUTH
OLYMPIA, WA
NPI
1811664014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph61179182)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
JAKOB LARZ SOUTH
305 COOPER POINT RD NW STE 103
OLYMPIA, WA 98502-4436
Phone number: 360-754-8014
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Mailing Address
JAKOB LARZ SOUTH
617 WOODDUCK DR SW
OLYMPIA, WA 98502-2672
Phone number: 801-833-8090
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