MRS. Stacy J Wachter

NPI #1619254828 in Blair, Nebraska

Provider Information

NPI Number: 1619254828
Entity Type: Individual
Name: MRS. Stacy J Wachter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 1260 WASHINGTON ST
City: Blair
State: Nebraska
ZIP Code: 68008-1732
Phone: (402) 533-8444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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