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NPI Code Detail

MEDICARE: STACY J MCSHANE PHARMD.

MEDICARE:   STACY J MCSHANE  PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist21044IA

General Provider Information

NPI Number : 1588008486
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY J MCSHANE PHARMD.
Provider Business Mailing Address
First Line : 900 BANK CT
Second Line :
City : CENTER POINT
State : IA
Zip : 52213-9477
Country : US
Telephone Number : 319-849-2799
Fax Number : 319-849-1536
Provider Business Practice Location Address
First Line : 900 BANK CT
Second Line :
City : CENTER POINT
State : IA
Zip : 52213-9477
Country : US
Telephone Number : 319-849-2799
Fax Number : 319-849-1536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2013
Last Update Date : 04/30/2020

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Directions to “ STACY J MCSHANE PHARMD.” Practice Location

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