Bruce, Stacey Lea
Bruce, Stacey Lea is an sole proprietor health care provider with primary practice located at Ralph H Johnson Va Medical Center 109 Bee Street, Charleston SC 29401-5799. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Bruce, Stacey Lea can be contacted via phone (843) 789-6583.Contact Information
Primary practice address
Ralph H Johnson Va Medical Center 109 Bee Street
Charleston SC 29401-5799
Phone: (843) 789-6583
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9861 | South Carolina |
Pharmacy Service Providers / Pharmacist | 183500000X | 9861 | South Carolina |
Profile Details
NPI number | 1306961214 |
---|---|
LBN Legal business name | Bruce, Stacey Lea |
Credentials | PHARM D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2007 |
Last updated | Aug 2nd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306961214 | NPPES |
South Carolina | Other | 12583 | PHARMACIST |
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