Angela Marie Larson in Faribault - Pharmacist
Angela Marie Larson - NPI 1477683365
Angela Marie Larson is a Pharmacist in Faribault, Minnesota. Angela Marie Larson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Angela Marie Larson is 1477683365. The last update date is 2009-03-20.
Angela Marie Larson's current location address is 1920 Grant St Nw, Faribault, Minnesota. You can contact this provider via phone number 5073341555 and fax number 5073349030. The mailing address for Angela Marie Larson is 1920 Grant St Nw, Faribault, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Marie Larson |
|---|---|
| Address | 1920 Grant St Nw, Faribault, Minnesota |
| Phone Number | 5073341555 |
| Fax Number | 5073349030 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477683365 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2009-03-20 |
Provider Mailing Address Detail
| Address | 1920 Grant St Nw |
|---|---|
| City | Faribault |
| State | Minnesota (MN) |
| Post Code | 550214831 |
| Phone Number | 5073341555 |
| Fax Number | 5073349030 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 117414 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106928000 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Marie Larson by the Centers for Medicare & Medicaid Services?
The Angela Marie Larson has been assigned the NPI (National Provider Identifier) 1477683365. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Angela Marie Larson is located?
The Angela Marie Larson is situated at the following address: 1920 Grant St Nw, Faribault, MN, 550214831.
What is Angela Marie Larson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angela Marie Larson's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477683365 to Angela Marie Larson?
The Angela Marie Larson received its 1477683365 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information regarding Angela Marie Larson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Angela Marie Larson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-20.
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