Larson, Nicole

Larson, Nicole is an sole proprietor health care provider with primary practice located at 21455 John Milless Dr , Rogers MN 55374-9431. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Larson, Nicole can be contacted via phone (763) 428-2629.

Contact Information

Primary practice address
21455 John Milless Dr Rogers MN 55374-9431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 120545 Minnesota

Profile Details

NPI number 1215550868
LBN Legal business name Larson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2020
Last updated May 18th, 2020 - about 6 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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