Stacey Bass

NPI 1053629519 - Pharmacist - 183500000X

NPI Details
NPI 1053629519
Gender Female
Enumeration Date 09/18/2010
Last Updated 09/18/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
734 N GREENWOOD AVE
WARE SHOALS SC, 29692-1233, US
Phone (864) 456-7512
Fax (864) 456-2858
Business Location
734 N GREENWOOD AVE
WARE SHOALS SC, 29692-1233, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State South Carolina
License Number 12208
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According to our database, Dr. Stacey Bass NPI is 1053629519, taxonomy code is 183500000X and license number is 12208, license state is located at South Carolina. Stacey Bass physically located at 734 N Greenwood Ave, Ware Shoals SC, 29692-1233. NPI Number Stacey Bass has the Individual type.

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1053629519 NPI number is provided on an as is basis without warranty of any kind. 1053629519 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Bass are for informational purposes only.