Jay Stade

NPI #1649764572 in Pratt, Kansas

Provider Information

NPI Number: 1649764572
Entity Type: Individual
Name: Jay Stade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jun 14, 2018
Last Updated: Nov 29, 2020

Practice Location

Address: 2003 E 1ST ST
City: Pratt
State: Kansas
ZIP Code: 67124-8460
Phone: (620) 672-7525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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