Stacey Houske

NPI #1821409509 in Hiram, Georgia

Provider Information

NPI Number: 1821409509
Entity Type: Individual
Name: Stacey Houske
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 15, 2014
Last Updated: May 15, 2014

Practice Location

Address: 5220 JIMMY LEE SMITH PKWY
City: Hiram
State: Georgia
ZIP Code: 30141-2739
Phone: (770) 222-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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