Staceys Drug Store, Inc.

NPI #1700089588 in Bay Minette, Alabama

Provider Information

NPI Number: 1700089588
Entity Type: Organization
Organization Name: Staceys Drug Store, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jun 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 109 COURTHOUSE SQ
City: Bay Minette
State: Alabama
ZIP Code: 36507-4813
Phone: (251) 937-5539

Authorized Official

Name: LARRY K MOSLEY, RPH
Title: PRESIDENT
Phone: (251) 937-5539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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