Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE LYNN PENKOVA, PHARMD
ActiveSTACIE LYNN PENKOVA, PHARMD is a Pharmacist Clinician (PhC) healthcare provider located in COLUMBUS AFB, Mississippi. NPI 1699372938 is currently active in the NPPES registry. Verify at CMS.
Pharmacist Clinician (PhC) · COLUMBUS AFB, MS
Registration Details
- NPI Number
- 1699372938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2020 (5.8927765982765 yrs)
- Last Updated
- Oct 8, 2020
- License
-
E-008947 (MS)
Practice Information
- Address
-
14TH MEDICAL GROUP201 INDEPENDENCE DRIVECOLUMBUS AFB, MS, 39710Browse MS providers · Browse ZIP 39710
- Phone
- 6624342273
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.