Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY ALLEN MANGUM, PHARM.D.
ActiveDR. STACY ALLEN MANGUM, PHARM.D. is a Pharmacotherapy Specialist healthcare provider located in DEXTER, Missouri. NPI 1619968237 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · DEXTER, MO
Registration Details
- NPI Number
- 1619968237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.820441122358 yrs)
- Last Updated
- Jul 8, 2007
- License
-
044733 (MO)
Practice Information
- Address
-
1200 N ONE MILE RDMISSOURI SOUTHERN HEALTHCAREDEXTER, MO, 638411000Browse MO providers · Browse ZIP 63841
- Phone
- 5736141957
- Fax
- 5736246265
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.