Individual
STACEY MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6903 BLUEGRASS STAKES, MONTGOMERY, AL 36117-6713
(334) 233-5533
Mailing address
6903 BLUEGRASS STAKES, MONTGOMERY, AL 36117-6713
(334) 233-5533
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
022950
GA
183500000X
Pharmacist
Primary
14748
AL
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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