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Individual

STACEY BANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
415 MULBERRY STREET, EVANSVILLE, IN 47713
(812) 422-3448
Mailing address
9902 MISTY LAYNE, HAUBSTADT, IN 47639
(812) 779-6574

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26021707A
IN

Other

Enumeration date
05/17/2017
Last updated
03/17/2018
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