Individual
STACEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
71041 HIGHWAY 21, COVINGTON, LA 70433-7120
(985) 875-0715
(985) 875-9728
Mailing address
71041 HIGHWAY 21, COVINGTON, LA 70433-7120
(985) 875-0715
(985) 875-9728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18564
PHARMACIST
LA
Enumeration date
08/15/2010
Last updated
12/19/2022
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