Larsen, Tracy J

Larsen, Tracy J is an individual health care provider with primary practice located at 13601 Kenton Ave , Crestwood IL 60418-1938. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Larsen, Tracy J can be contacted via phone (708) 758-8000.

Contact Information

Primary practice address
13601 Kenton Ave Crestwood IL 60418-1938
Phone: (708) 758-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 051039230 Illinois
Pharmacy Service Providers / Pharmacist 183500000X 051039230 Illinois

Profile Details

NPI number 1598386716
LBN Legal business name Larsen, Tracy J
Credentials REGISTERED PHARMACIS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2020
Last updated Apr 28th, 2020 - about 4 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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