Individual
STACI RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 HIGHWAY 78, SUMITON, AL 35148-3419
(205) 648-1968
Mailing address
690 HIGHWAY 78, SUMITON, AL 35148-3419
(205) 648-1968
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12953
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003323
—
AL
Enumeration date
09/16/2015
Last updated
09/16/2015
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