National Provider Identifier

Donald Edward Larson Jr., RPH

Donald Edward Larson Jr., RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Orchard Park, NY and a listed phone number of (716) 662-9146.

NPI 1073890299Orchard Park, NYPharmacist

Profile Overview

NPI
1073890299
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 16, 2011
Last Updated
November 16, 2011

Practice Location

  • 62 Midway Dr
  • Orchard Park, NY 14127-3040

Phone: (716) 662-9146

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1073890299
Entity Type
Individual
Last Name
Larson
First Name
Donald
Middle Name
Edward
Name Suffix
Jr.
Credential
RPH
Mailing Street Address
62 Midway Dr
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3040
Mailing Country
US
Mailing Phone
(716) 662-9146
Practice Street Address
62 Midway Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-3040
Practice Country
US
Practice Phone
(716) 662-9146
Enumeration Date
November 16, 2011
Last Updated
November 16, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)