Individual provider · Type 1 NPI
Stacy Allen Mangum, PharmD
Pharmacotherapy Pharmacist · Dexter, MO
Practice location
1200 N One Mile Rd, Missouri Southern Healthcare
Dexter, MO 63841-1000
Fax (573) 624-6265
Mailing address
704 Chautauqua Ln
Dexter, MO 63841-1929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacotherapy Pharmacist Primary | 1835P1200X | 044733 (MO) |
Pharmacotherapy Pharmacist: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
18 other providers at this address
- Dexter Emergency Physicians, LLCEmergency Medicine Physician Dexter, MO NPI 1154365070
- Meramec Emergency Physicians, LLPEmergency Medicine Physician Dexter, MO NPI 1356762132
- Southeast Health Center of Stoddard County, LLCMedicare Defined Swing Bed Hospital Unit Dexter, MO NPI 1386802023
- Southeast Health Center of Stoddard County, LLCFamily Medicine Physician Dexter, MO NPI 1568524437
- Southeast Health Center of Stoddard County, LLCRural Health Clinic/Center Dexter, MO NPI 1790828812
- Southeast Health Center of Stoddard County, LLCGeneral Acute Care Hospital Dexter, MO NPI 1801990825
- Stoddard Emergency Group, LLCEmergency Medicine Physician Dexter, MO NPI 1578080214
- Aaron V. Koehler, PA-CPhysician Assistant Dexter, MO NPI 1871294553
- Angela Weiss, NPNurse Practitioner Dexter, MO NPI 1841685989
- Ashley Marie Gantner, FNP-CFamily Nurse Practitioner Dexter, MO NPI 1245959717
- Cory W. Blocker, PNPPediatric Nurse Practitioner Dexter, MO NPI 1396945663
- Edward D. Reese, MDFamily Medicine Physician Dexter, MO NPI 1013279918
About NPI 1619968237
Stacy Allen Mangum, PharmD's National Provider Identifier is 1619968237, issued on Nov 2, 2005. The primary taxonomy on file is Pharmacotherapy Pharmacist (1835P1200X), and the practice location is in Dexter, MO. The record was last updated on Jul 13, 2026.