Individual
STACEY L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 DISNEY STREET, HEART BUTTE, MT 59432-0000
(406) 338-2151
Mailing address
81 DISNEY STREET, HEART BUTTE, MT 59432-0000
(406) 338-2151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5787
ID
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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