Individual provider · Type 1 NPI

Stacy Park

Pharmacist · Phoenix, AZ

NPI number 1205290459 Active

Practice location

635 E Baseline Rd
Phoenix, AZ 85042-6551

Call (602) 243-7277 Map

Mailing address

4225 E Mcdowell Rd, 1103
Phoenix, AZ 85008-7475

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS020120 (AZ)

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…

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About NPI 1205290459

Stacy Park's National Provider Identifier is 1205290459, issued on Apr 13, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 13, 2016.