Individual
STACY CROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, CC 101 GH, IOWA CITY, IA 52242
(319) 356-7236
(319) 384-9128
Mailing address
1707 RANDALL DR, SOLON, IA 52333-9424
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21417
IA PHARMACY LICENSE NUMBER
IA
Enumeration date
07/02/2020
Last updated
07/02/2020
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