Individual
DR. JAY URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
145 N MAIN ST, FOND DU LAC, WI 54935-3423
(920) 926-4660
Mailing address
145 N MAIN ST, FOND DU LAC, WI 54935-3423
(920) 926-4660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20066-40
WI
Other
Enumeration date
02/25/2020
Last updated
07/18/2022
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