Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Larson

Individual provider Pharmacist · NPI 1215550868

Nicole Larson is a Pharmacist in Rogers, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

21455 John Milless Dr
Rogers, MN 55374-9431
Phone: (763) 428-2629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 120545 (MN)

Record details

NPI number1215550868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 2020
Mailing address21455 John Milless Dr, Rogers, MN 55374-9431

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