Larsen, Robert William

Larsen, Robert William is an individual health care provider with primary practice located at 490 S Main St , Fort Bragg CA 95437-4806. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Larsen, Robert William can be contacted via phone (707) 964-1848.

Contact Information

Primary practice address
490 S Main St Fort Bragg CA 95437-4806
Phone: (707) 964-1848
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 54964 California
Pharmacy Service Providers / Pharmacist 183500000X 13276 South Carolina

Profile Details

NPI number 1487940516
LBN Legal business name Larsen, Robert William
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Jun 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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