Individual
DYLAN MICHAEL LABARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
481 WEST ST, KEENE, NH 03431-2448
(603) 357-0423
Mailing address
62 ROXBURY ST UNIT 133, KEENE, NH 03431-3075
(518) 536-0198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHCY-01062
NH
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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