Individual
JOHN N STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 264-3055
(828) 264-3053
Mailing address
345 DEERFIELD RD, BOONE, NC 28607-5009
(828) 264-3055
(828) 264-3053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5355
PHARMACIST
NC
Enumeration date
10/29/2009
Last updated
08/13/2012
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