NPI 1093891095
Larsen Service Drug, INC.
Practice location
- Address
- 334 Main Street, New Town, ND 58763-0460
- Phone
- (701) 627-2410
- Fax
- (701) 627-2400
- Mailing address
- PO Box 460, New Town, ND 58763-0460
Authorised official
- Name
- Larry C. Larsen
- Title
- Owner/President/Pharmacist
- Phone
- (701) 444-2410
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1093891095
- Entity type
- Organization
- NPI issued
- 31 Oct 2006
- Record last updated
- 12 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.