| Dr Stacy Allen Mangum, PHARMD | |
|
1200 N One Mile Rd, Missouri Southern Healthcare, Dexter, MO 63841-1000 | |
| (573) 614-1957 | |
| (573) 624-6265 |
| Full Name | Dr Stacy Allen Mangum |
|---|---|
| Gender | Male |
| Speciality | Pharmacist - Pharmacotherapy |
| Location | 1200 N One Mile Rd, Dexter, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619968237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1835P1200X | Pharmacist - Pharmacotherapy | 044733 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy Allen Mangum, PHARMD 704 Chautauqua Ln, Dexter, MO 63841-1929 Ph: (573) 624-9657 | Dr Stacy Allen Mangum, PHARMD 1200 N One Mile Rd, Missouri Southern Healthcare, Dexter, MO 63841-1000 Ph: (573) 614-1957 |
Brandy Wirz, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1007 W Bus Highway 60, Dexter, MO 63841 Phone: 573-614-5900 | |
Phillip Wesley Stegman, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 904 W Business Us Highway 60, Dexter, MO 63841 Phone: 573-624-7452 | |
David Mulcahy, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 904 West Business Hwy 60, Dexter, MO 63841 Phone: 573-624-8911 Fax: 573-624-6867 | |
Dr. Christa Renee Mcbroom, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2025 Business Hwy 60w, Dexter, MO 63841 Phone: 573-624-5967 Fax: 573-624-5537 | |
Ashley Irene Robison, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2025 West Business Hwy 60, Dexter, MO 63841 Phone: 573-624-5967 | |
William Simmons, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 904 W Business Highway 60, Dexter, MO 63841 Phone: 573-624-7452 Fax: 573-624-6867 |