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Individual
STACEY HANNIGAN
Active
Individual
STACEY HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP040817L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP040817L
PA STATE BOARD OF PHARMACY
PA
Enumeration date
07/27/2009
Last updated
07/27/2009
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