Individual
KATHY STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HOWDERSHELL RD, FLORISSANT, MO 63031-6450
(314) 837-8717
Mailing address
1732 MOSS ROCK DR, SAINT CHARLES, MO 63303-3761
(636) 219-6827
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006024021
MO
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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