Larson Drug
Organization Active NPI Community/Retail Pharmacy · Clarkfield, MN
NPI 1497827992 · NPPES record last updated Apr 21, 2016
Key facts
- NPI
- 1497827992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 200175 (MN)
- Legal business name
- LARSON DRUG
- Practice address
- 941 10TH St
Clarkfield, MN 56223-1304 - Phone
- (320) 669-4621
- Fax
- (320) 669-4621
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Larson
- Title
- Partner Owner Phcst
- Phone
- (320) 669-4621
National Provider Directory
Locations
941 10th St
Clarkfield, MN 56223
Phone (320) 669-4621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 200175 | MN | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
941 10TH St
Clarkfield, MN 56223-1304
Mailing address
PO Box 218
Clarkfield, MN 56223-0218
Phone (320) 669-4621
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044147 | Other | PK | |
| 282357800 | Medicaid | MN |
Other names
- LARSON DRUG
Other providers in Clarkfield, MN
- Clarkfield Care Center
- Clarkfield Care Center
- Countryside Medical Clinic P.L.L.C
- Bradley Kenneth Handeland
- Wyatt Haugen
- Open Door Health Center
- S. a. Patel D.D.S., P.a.
All providers in Clarkfield, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.