Christina Louise Stayback

NPI #1407453301 in Angola, Indiana

Provider Information

NPI Number
1407453301
Entity Type
Individual
Name
Christina Louise Stayback
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 4, 2020
Last Updated
Oct 4, 2020

Practice Location

Address
2016 N WAYNE ST
City
Angola
State
Indiana
ZIP Code
46703-9102
Phone
(260) 665-7033

Specialties & Taxonomy Codes

Specialty
Pharmacist

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