Individual
STACY LYNN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
601 EAST HWY 28, OWENSVILLE, MO 65066
(573) 437-3440
(573) 437-4963
Mailing address
1920 BOHEMIAN HWY, OWENSVILLE, MO 65066-3026
(573) 437-5966
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044976
MO
Other
Enumeration date
08/15/2006
Last updated
05/18/2010
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