Individual
STACEY MARIE BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1350 S HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-3162
(321) 434-5211
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PS42442
FL
Other
Enumeration date
01/27/2010
Last updated
08/09/2013
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