Stacie Ely, RPH

NPI #1154922052 in Ava, Missouri

Provider Information

NPI Number: 1154922052
Entity Type: Individual
Name: Stacie Ely, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 5, 2020
Last Updated: Apr 5, 2022

Practice Location

Address: 1309 NW 12TH AVE
City: Ava
State: Missouri
ZIP Code: 65608
Phone: (417) 683-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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