Larson Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

200175 Issued in MN

Legal business name

LARSON DRUG

Doing business as

Larson Drug

Practice address

941 10TH St
Clarkfield, MN 56223-1304

Phone

(320) 669-4621

Fax

(320) 669-4621

NPI assigned

Nov 14, 2006

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Larson

Title

Partner Owner Phcst

Phone

(320) 669-4621

Specialties & licenses 3

Addresses

Other names 1

• LARSON DRUG Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1497827992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562230218",
            "telephone_number": "320-669-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 10TH ST",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562231304",
            "telephone_number": "320-669-4621",
            "fax_number": "320-669-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PARTNER OWNER PHCST",
        "authorized_official_telephone_number": "320-669-4621"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "200175",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LARSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bradley Kenneth Handeland, D.C., CKTP
• Wyatt Haugen
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• S. a. Patel D.D.S., P.a.

• Community/Retail Pharmacy in Clarkfield, MN
• Providers in Clarkfield, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.