Larson, Jennifer

Larson, Jennifer is an sole proprietor health care provider with primary practice located at 2707 Gallop Dr , Santa Rosa CA 95407-4541. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Larson, Jennifer can be contacted via phone (415) 734-8321.

Contact Information

Primary practice address
2707 Gallop Dr Santa Rosa CA 95407-4541
Phone: (415) 734-8321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH43955 California

Profile Details

NPI number 1972975019
LBN Legal business name Larson, Jennifer
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972975019 NPPES
California Other RPH43955 BOARD OF PHARMACY CALIFORNIA

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