Individual
STACEY LISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25823
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0070-00759
NC
1835X0200X
Oncology Pharmacist
Primary
25823
NC
Other
Enumeration date
09/12/2017
Last updated
10/19/2017
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