Individual
STACY ANN BIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 428-3550
Mailing address
7829 LYDIA LN, LAFAYETTE, IN 47909-8558
(765) 426-2168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019221A
IN
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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