Individual
LACEY MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1200 1ST AVE E STE 1, SPENCER, IA 51301-4330
(712) 264-6160
Mailing address
1401 430TH ST, SIOUX RAPIDS, IA 50585-2041
(712) 260-8982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21983
IA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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