Scott David Larsen PHARM D.

NPI 1104113489 - Pharmacist - 183500000X

NPI Details
NPI 1104113489
Gender Male
Enumeration Date 07/07/2011
Last Updated 07/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
200 NORTH MARKETPLACE DRIVE
CENTERVILLE UT, 84025, US
Phone (801) 292-1546
Fax (801) 292-1546
Business Location
200 NORTH MARKETPLACE DRIVE
CENTERVILLE UT, 84025, US
Phone (801) 292-1546
Fax (801) 292-1546
Toxanomy
Taxonomy Code 183500000X
License State Utah
License Number 3087862-1701
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According to our database, Dr. Scott David Larsen PHARM D. NPI is 1104113489, taxonomy code is 183500000X and license number is 3087862-1701, license state is located at Utah. Scott David Larsen PHARM D. physically located at 200 North Marketplace Drive, Centerville UT, 84025. NPI Number Scott David Larsen PHARM D. has the Individual type.

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1104113489 NPI number is provided on an as is basis without warranty of any kind. 1104113489 is maintained by the National Plan & Provider Enumeration System. The contents of Scott David Larsen PHARM D. are for informational purposes only.