NPI 1164299145

Jerry Lee Stankewitz

Practitioner Ambulatory Care Pharmacist Ozark, MO

Practice location

Address: 1675 W South St, Ozark, MO 65721-5152
Phone: (417) 631-7138
Mailing address: 621 W Bobwhite Ln, Nixa, MO 65714-7979

Registered specialties

Ambulatory Care Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835P2201X Licence 2006021565 (MO)

Other Pharmacist providers in Missouri →

Registry record

NPI: 1164299145
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2023
Record last updated: 8 Dec 2023

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.