Short, Stacy
Short, Stacy is an sole proprietor health care provider with primary practice located at 380 Spyglass Cir , Idaho Falls ID 83401-6334. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Short, Stacy can be contacted via phone (208) 552-0638.Contact Information
Primary practice address
380 Spyglass Cir
Idaho Falls ID 83401-6334
Phone: (208) 552-0638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P7990 | Idaho |
Profile Details
| NPI number | 1043701931 |
|---|---|
| LBN Legal business name | Short, Stacy |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2018 |
| Last updated | May 25th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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