NPI 1043701931

Stacy Short, PHARMD

Practitioner Pharmacist Idaho Falls, ID

Practice location

Address: 380 Spyglass Cir, Idaho Falls, ID 83401-6334
Phone: (208) 552-0638

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P7990 (ID)

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Registry record

NPI: 1043701931
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2018
Record last updated: 25 May 2018

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.