Individual
MRS. STACY J WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 WASHINGTON ST, BLAIR, NE 68008-1732
(402) 533-8444
(402) 533-8480
Mailing address
14551 COUNTY ROAD 23, BLAIR, NE 68008-5573
(402) 533-4514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10841
NE
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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