Individual
MRS. STACEY C AUSENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2220 E MORGAN AVE, EVANSVILLE, IN 47711-4314
(812) 475-6732
(812) 475-6734
Mailing address
1414 DYLAN CIR, HENDERSON, KY 42420-5340
(270) 826-9796
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67006821A
IN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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