| NPI | 1164632774 |
|---|---|
| Doing Business As | STACY'S COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT MCINTOSH President 404-876-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE000096) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |