Stacy Allen Mangum in Dexter - Pharmacotherapy
Stacy Allen Mangum - NPI 1619968237
Stacy Allen Mangum is a Pharmacotherapy in Dexter, Missouri. Stacy Allen Mangum practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Stacy Allen Mangum is 1619968237. The last update date is 2007-07-08.
Stacy Allen Mangum's current location address is 704 Chautauqua Ln, Dexter, Missouri. You can contact this provider via phone number 5736249657 and fax number 5736246265. The mailing address for Stacy Allen Mangum is 704 Chautauqua Ln, Dexter, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Allen Mangum |
|---|---|
| Address | 704 Chautauqua Ln, Dexter, Missouri |
| Phone Number | 5736249657 |
| Fax Number | 5736246265 |
| Sole Proprietor | X |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1619968237 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 704 Chautauqua Ln |
|---|---|
| City | Dexter |
| State | Missouri (MO) |
| Post Code | 638411929 |
| Phone Number | 5736249657 |
| Fax Number | 5736246265 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 44733 |
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Definition: 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 cons |
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What is the unique 10-digit identifier code assigned to Stacy Allen Mangum by the Centers for Medicare & Medicaid Services?
The Stacy Allen Mangum has been issued the NPI (National Provider Identifier) 1619968237 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stacy Allen Mangum's facilities are situated?
The facilities of Stacy Allen Mangum are physically located at the following address: 704 Chautauqua Ln, Dexter, MO, 638411929.
What is the area of specialization for Stacy Allen Mangum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Allen Mangum is Pharmacotherapy, and the corresponding taxonomy code that categorizes this area of expertise is 1835P1200X.
When did the Stacy Allen Mangum receive its 1619968237?
The Stacy Allen Mangum was issued its 1619968237 on 2005-11-02, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Stacy Allen Mangum most recently updated or revised?
The information pertaining to Stacy Allen Mangum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.