Stacey L Mohn, R.PH Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1013290717
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 2000174614 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-20
- Last updated
- 2011-09-20
Practice location
4650 Highway K
O Fallon, MO 63368-8728
(636) 329-9163