Stacey M Thacker, PHARM D

NPI #1962659664 in Edwardsville, Illinois

Provider Information

NPI Number
1962659664
Entity Type
Individual
Name
Stacey M Thacker, PHARM D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Primary Care
Credential
PHARM D
Enumeration Date
Aug 25, 2008
Last Updated
Aug 25, 2008

Practice Location

Address
200 UNIVERSITY PARK DR
Address 2
CAMPUS BOX 2000
ZIP Code
62026-0001
Phone
(618) 650-5131

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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