Individual
CARMEN MARIE STACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 W PINE BLVD, APT 3205, ST. LOUIS, MO 63131-6313
(763) 276-6759
Mailing address
4050 W PINE BLVD APT 3205, SAINT LOUIS, MO 63108-3349
(763) 276-6759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017028106
MO
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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