Individual
STACIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
Mailing address
6905 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26031785A
IN
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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