# STACEY A BARTHOLOMEW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104220235
- **Gender:** F
- **Credential:** RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 117440 | MN | — |
| 183500000X | Pharmacist | 4410 | SD | — |
| 183500000X | Pharmacist | PHA.0020576 | CO | Yes |
| 3336C0003X | Community/Retail Pharmacy | 0020576 | CO | — |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 04/11/2024