Individual
JAYLAN OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 N 11TH ST, BISMARCK, ND 58503-0594
(701) 224-9521
Mailing address
3101 N 11TH ST, BISMARCK, ND 58503-0594
(701) 224-9521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6366
ND
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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