MRS. Stacy Lynn Smith

NPI #1730583501 in Page, Arizona

Provider Information

NPI Number
1730583501
Entity Type
Individual
Name
MRS. Stacy Lynn Smith
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 22, 2014
Last Updated
Oct 22, 2014

Practice Location

Address
1017 W HAUL RD
City
Page
State
Arizona
ZIP Code
86040-0656
Phone
(435) 313-9114

Specialties & Taxonomy Codes

Specialty
Pharmacist

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