Individual provider · Type 1 NPI

Stacie Ely, RPH

Pharmacist · Ava, MO

NPI number 1154922052 Active

Practice location

1309 NW 12th Ave
Ava, MO 65608

Mailing address

507 Primrose Ln
Houston, MO 65483-2106

Other practice locations

  • 1433 S Sam Houston Blvd, Houston, MO 65483-2131 · (417) 967-4521

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2000166259 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

2 other providers at this address

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About NPI 1154922052

Stacie Ely, RPH's National Provider Identifier is 1154922052, issued on Nov 5, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Ava, MO. The record was last updated on Apr 5, 2022.