Individual
DR. STACIE THORNTON NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
107 HIGHWAY 80 E, CLINTON, MS 39056-4738
(601) 925-6343
(601) 925-6344
Mailing address
107 HIGHWAY 80 E, CLINTON, MS 39056-4738
(601) 832-0336
(601) 925-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
T09286
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
T-09286
MS
Other
Enumeration date
07/06/2007
Last updated
02/12/2020
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