Individual
STACY ELIZABETH FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST RPH
Contact information
Practice address
307 CARTER ST, VIDALIA, LA 71373-3396
(318) 336-5112
(318) 336-9745
Mailing address
307 CARTER ST, VIDALIA, LA 71373-3396
(318) 336-5112
(318) 336-9745
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16070
LA
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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