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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306961214 NPPES
South Carolina Other 12583 PHARMACIST

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