Individual
STACEY R OURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2400 W SYCAMORE ST, KOKOMO, IN 46901-4035
(765) 868-0140
(765) 868-4950
Mailing address
2400 W SYCAMORE ST, KOKOMO, IN 46901-4035
(765) 868-0140
(765) 868-4950
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019052A
IN
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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