Individual
LISA MARIE STAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3805 ZANZIBAR LN N, PLYMOUTH, MN 55446-1349
(763) 551-1214
Mailing address
3805 ZANZIBAR LN N, PLYMOUTH, MN 55446-1349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116476
MN
183500000X
Pharmacist
4616
ND
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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