| NPI | 1740387588 |
|---|---|
| Doing Business As | STACEY DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | BURKE LANGHAM Owner/Pharm 251-943-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 112353) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-07-19 |