Larson, Braydon
Larson, Braydon is an individual health care provider with primary practice located at 3487 N Stockton Hill Rd , Kingman AZ 86409-3681. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Larson, Braydon can be contacted via phone (928) 692-1822.Contact Information
Primary practice address
3487 N Stockton Hill Rd
Kingman AZ 86409-3681
Phone: (928) 692-1822
Fax: (928) 692-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | S021662 | Arizona |
Profile Details
| NPI number | 1881110716 |
|---|---|
| LBN Legal business name | Larson, Braydon |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2017 |
| Last updated | Aug 22nd, 2017 - 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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