Larson, Matthew Thor

Larson, Matthew Thor is an sole proprietor health care provider with primary practice located at 20 W Main St , Crosby MN 56441-1422. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Larson, Matthew Thor can be contacted via phone (218) 546-5144.

Contact Information

Primary practice address
20 W Main St Crosby MN 56441-1422
Fax: (218) 546-7238
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 120525 Minnesota

Profile Details

NPI number 1609134675
LBN Legal business name Larson, Matthew Thor
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Apr 27th, 2012 - 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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