Penkova, Stacie Lynn

Penkova, Stacie Lynn is an individual health care provider with primary practice located at 14Th Medical Group 201 Independence Drive, Columbus Afb MS 39710. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Penkova, Stacie Lynn can be contacted via phone (662) 434-2273.

Contact Information

Primary practice address
14Th Medical Group 201 Independence Drive Columbus Afb MS 39710
Phone: (662) 434-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-008947 Mississippi

Profile Details

NPI number 1699372938
LBN Legal business name Penkova, Stacie Lynn
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 2020 - about 4 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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