Individual
STACEY VANSICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HAWKINS DR, CC101 GH, IOWA CITY, IA 52242-1009
(319) 356-2577
Mailing address
200 HAWKINS DR, CC101 GH, IOWA CITY, IA 52242-1009
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
21912
IA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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