NPI 1013290717

Stacey L Mohn, RPH

Practitioner Pharmacist O Fallon, MO

Practice location

Address: 4650 Highway K, O Fallon, MO 63368-8728
Phone: (636) 329-9163
Fax: (636) 329-9605

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2000174614 (MO)

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Registry record

NPI: 1013290717
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2011
Record last updated: 20 Sep 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.