Individual provider · Type 1 NPI

Benjamin Robert Larsen, PHARM D

Pharmacist · Yelm, WA

NPI number 1104078492 Active

Practice location

106 1st St S
Yelm, WA 98597-7700

Mailing address

PO Box 3097, 11840 Bald Hills Rd SE
Yelm, WA 98597

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH00055787 (WA)

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 1104078492

Benjamin Robert Larsen, PHARM D's National Provider Identifier is 1104078492, issued on Oct 17, 2008. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Yelm, WA. The record was last updated on Oct 17, 2008.