Staci Nichole Longbine

NPI #1104470095 in Amarillo, Texas

Provider Information

NPI Number: 1104470095
Entity Type: Individual
Name: Staci Nichole Longbine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 29, 2019
Last Updated: Jul 29, 2019

Practice Location

Address: 1000 S COULTER ST STE 100
City: Amarillo
State: Texas
ZIP Code: 79106-1781
Phone: (806) 457-2053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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