Stacie Lynn Penkova, PHARMD
NPI #1699372938 in Columbus Afb, Mississippi
Provider Information
- NPI Number
- 1699372938
- Entity Type
- Individual
- Name
- Stacie Lynn Penkova, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Credential
- PHARMD
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 8, 2020
Practice Location
- Address
- 14TH MEDICAL GROUP
- Address 2
- 201 INDEPENDENCE DRIVE
- City
- Columbus Afb
- State
- Mississippi
- ZIP Code
- 39710
- Phone
- (662) 434-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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