Individual
MRS. STACI LAINE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 FISHER ST RM 2B006, BILOXI, MS 39534-2508
(228) 376-0388
Mailing address
301 FISHER ST RM 2B006, BILOXI, MS 39534-2508
(228) 376-0388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222793
VA
183500000X
Pharmacist
15269
LA
183500000X
Pharmacist
T-13351
MS
Other
Enumeration date
05/19/2014
Last updated
03/06/2026
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