Individual
SANDRA LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2425 13TH AVE S, FARGO, ND 58103-3749
(701) 232-4872
Mailing address
4670 33RD AVE S APT 106, FARGO, ND 58104-7167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6467
ND
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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