Individual provider · Type 1 NPI

Jacqueline Larson

Pharmacist · Bloomington, MN

NPI number 1073993622 Active

Practice location

10501 Florida Ave S
Bloomington, MN 55438-2553

Call (952) 854-1190 Map

Mailing address

10420 Maryland Ave N
Brooklyn Park, MN 55445-3278

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X6272 (SD)
Pharmacist Primary 183500000X122227 (MN)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1073993622

Jacqueline Larson's National Provider Identifier is 1073993622, issued on Jun 8, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bloomington, MN. The record was last updated on Jun 12, 2020.