Individual
DR. STACIA RENEE CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
262 KY RT 122, MARTIN, KY 41630
(606) 285-9908
(606) 285-9807
Mailing address
PO BOX 606, GARRETT, KY 41630-0606
(606) 946-2015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012120
KY
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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