Ethan Stobaugh
NPI #1326686254 in Horn Lake, Mississippi
Provider Information
- NPI Number
- 1326686254
- Entity Type
- Individual
- Name
- Ethan Stobaugh
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Dec 10, 2019
- Last Updated
- Dec 10, 2019
Practice Location
- Address
- 3926 GOODMAN RD W
- City
- Horn Lake
- State
- Mississippi
- ZIP Code
- 38637-1324
- Phone
- (662) 393-7868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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