NPI 1215059258

Richard Mark Larson

Practitioner Pharmacist St Ignatius, MT

Practice location

Address: 308 Mission Dr, St Ignatius, MT 59065
Phone: (406) 745-3525
Mailing address: PO Box 880, St Ignatius, MT 59865

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 4500 (MT)

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Registry record

NPI: 1215059258
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2007
Record last updated: 8 Jul 2007

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.