Individual
MS. STACEY L MOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
4650 HIGHWAY K, O FALLON, MO 63368-8728
(636) 329-9163
(636) 329-9605
Mailing address
4650 HIGHWAY K, O FALLON, MO 63368-8728
(636) 329-9163
(636) 329-9605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000174614
MO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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