MRS. Stacy Louiseb Bates, PHARMD

NPI #1578849535 in Brooklyn Center, Minnesota

Provider Information

NPI Number: 1578849535
Entity Type: Individual
Name: MRS. Stacy Louiseb Bates, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 21, 2011
Last Updated: Oct 21, 2011

Practice Location

Address: 6390 BROOKLYN BLVD
City: Brooklyn Center
State: Minnesota
ZIP Code: 55429-2600
Phone: (763) 585-9946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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