Keller, Stacey Lynn

Keller, Stacey Lynn is an sole proprietor health care provider with primary practice located at 1108 Hartman Ln , Belleville IL 62221-7921. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Keller, Stacey Lynn can be contacted via phone (618) 239-6617.

Contact Information

Primary practice address
1108 Hartman Ln Belleville IL 62221-7921
Phone: (618) 239-6617
Fax: (618) 239-6625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051289522 Illinois

Profile Details

NPI number 1205116787
LBN Legal business name Keller, Stacey Lynn
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2011
Last updated Aug 28th, 2011 - about 14 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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