Individual
JAY LABAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1401 33RD ST S, FARGO, ND 58103-3413
(701) 235-5511
(701) 235-5198
Mailing address
1401 33RD ST S, FARGO, ND 58103-3413
(701) 235-5511
(701) 235-5198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119661
MN
183500000X
Pharmacist
Primary
5247
ND
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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