Provider / Organization | NPI | Date Certified |
---|---|---|
STACEY MCKENZIE | 1063163533 | 2022-01-15 |
Stacey Mckenzie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063163533. Registration indicates Stacey Mckenzie is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
Entity Type | Individual |
Provider Name | Stacey Mckenzie |
Practice Office Address | 2212 GLACIER DR SAINT CROIX FAL, WI US |
Practice Office Telephone | 7154831499 |
Mailing Address | 2212 GLACIER DR SAINT CROIX FALLS, WI 540248347 US |
Business Telephone | 7154831499 |
Other URL [] | Phone |
Code | Practice | License No State |
---|---|---|
183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 21217
WI |