Individual
STACY MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
475 FORTMAN DR, SAINT MARYS, OH 45885-1871
(419) 394-8930
Mailing address
475 FORTMAN DR, SAINT MARYS, OH 45885-1871
(419) 394-8930
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03-2-23542
OH
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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