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
Phone: (218) 546-5144
Fax: (218) 546-7238
Website:
Health care specialties
Specialty | Code | License # | 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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