Organization

Larsen Service Drug, Inc.

Community/Retail Pharmacy in New Town, ND(View on Map)

Legal Business Name

Larsen Service Drug, Inc.

NPI Number

1093891095

NPI Type

Organization

Enumeration Date

10/31/2006

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

390

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 460
334 MAIN STREET

City

New Town
New Town

State

ND
ND

Postal Code

58763-0460
58763-0460

Country

US
US

Telephone Number

(701) 627-2410
(701) 627-2410

Authorized Official

Name

Mr. Larry Larsen

Title or Position

OWNER/PRESIDENT/PHARMACIST

Telephone Number

(701) 444-2410

Identifiers

Identifier

21402

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/12/2010

Provider Address

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