NPI 1003191248

Stacie B Longstaff

Practitioner Pharmacist Newburgh, IN

Practice location

Address: 7769 Highway 66, Newburgh, IN 47630
Phone: (812) 853-5339
Mailing address: 7769 Highway 66, Newburgh, IN 47630-6269

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26015086A (IN)

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Registry record

NPI: 1003191248
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.