Individual
STEVEN STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
601 N CASCADE AVE, UNIT 1, COLORADO SPRINGS, CO 80903-3258
(314) 440-8006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020341
CO
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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