Larson, Andrea Lyn

Larson, Andrea Lyn is an individual health care provider with primary practice located at 889 Venture Dr , Morgantown WV 26508-7311. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Larson, Andrea Lyn can be contacted via phone (304) 292-2787.

Contact Information

Primary practice address
889 Venture Dr Morgantown WV 26508-7311
Phone: (304) 292-2787
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP0007256 West Virginia
Pharmacy Service Providers / Pharmacist 183500000X P5901 Idaho

Profile Details

NPI number 1578829743
LBN Legal business name Larson, Andrea Lyn
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 14 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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