DR. Stacy Short, PHARMD

NPI #1043701931 in Idaho Falls, Idaho

Provider Information

NPI Number: 1043701931
Entity Type: Individual
Name: DR. Stacy Short, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 25, 2018
Last Updated: May 25, 2018

Practice Location

Address: 380 SPYGLASS CIR
City: Idaho Falls
State: Idaho
ZIP Code: 83401-6334
Phone: (208) 552-0638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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