| NPI | 1396288551 |
|---|---|
| Doing Business As | STACY'S WELLNESS PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | STACY HAZELWOOD Owner/President/PIC/AO 931-474-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 5899) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2018-07-19 |