Stacie B Longstaff

NPI #1003191248 in Newburgh, Indiana

Provider Information

NPI Number: 1003191248
Entity Type: Individual
Name: Stacie B Longstaff
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 19, 2011
Last Updated: Oct 19, 2011

Practice Location

Address: 7769 HIGHWAY 66
City: Newburgh
State: Indiana
ZIP Code: 47630
Phone: (812) 853-5339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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