Larson-Wakeman, Molly

Larson-Wakeman, Molly is an sole proprietor health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Larson-Wakeman, Molly can be contacted via phone (928) 522-9400.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 522-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X S023430 Arizona

Profile Details

NPI number 1174181812
LBN Legal business name Larson-Wakeman, Molly
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2019
Last updated May 29th, 2019 - about 5 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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