Jane Ellen Larson in North Branch - Pharmacist

Jane Ellen Larson - NPI 1790842839

Jane Ellen Larson is a Pharmacist in North Branch, Minnesota. Jane Ellen Larson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jane Ellen Larson is 1790842839. The last update date is 2007-07-08.

Jane Ellen Larson's current location address is 37422 Hearthside Ln, North Branch, Minnesota. You can contact this provider via phone number 6519827235 and fax number 6519827236. The mailing address for Jane Ellen Larson is 37422 Hearthside Ln, North Branch, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane Ellen Larson
Address 37422 Hearthside Ln, North Branch, Minnesota
Phone Number 6519827235
Fax Number 6519827236
Sole Proprietor N
Credentials RPH

NPI Number Detail

NPI Number 1790842839
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 37422 Hearthside Ln
City North Branch
State Minnesota (MN)
Post Code 550564019
Phone Number 6519827235
Fax Number 6519827236

Provider's Primary Taxonomy Detail

Speciality Pharmacist
Taxonomy 183500000X
Licence No 1121292
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1121292 MN REGISTERED PHARMACIST

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FAQs about Jane Ellen Larson

What is the unique 10-digit identification code assigned to Jane Ellen Larson by the Centers for Medicare & Medicaid Services?

The Jane Ellen Larson has been issued the NPI (National Provider Identifier) 1790842839, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jane Ellen Larson is geographically located?

The Jane Ellen Larson is physically situated at the following location: 37422 Hearthside Ln, North Branch, MN, 550564019.

What is Jane Ellen Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jane Ellen Larson is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1790842839 to Jane Ellen Larson?

The Jane Ellen Larson received its 1790842839 assignment from the Centers for Medicare & Medicaid Services on 2007-01-01.

When was the information related to Jane Ellen Larson most recently updated or refreshed?

The details pertaining to the Jane Ellen Larson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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