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NPI Code Detail

MEDICARE: STACEY SCHOOLEY

MEDICARE:   STACEY  SCHOOLEY
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
1183500000XPharmacistS14912AZ

General Provider Information

NPI Number : 1609180462
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY SCHOOLEY
Provider Business Mailing Address
First Line : 1315 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-6284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1315 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-6284
Country : US
Telephone Number : 480-460-3945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 08/03/2010

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Directions to “ STACEY SCHOOLEY ” Practice Location

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