Stacie Ely, RPH

Pharmacist · Ava, MO

Individual Active NPI

NPI number 1154922052

Practice location

1309 NW 12TH Ave
Ava, MO 65608
Phone
(417) 683-4708

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NPI record

NPI
1154922052
Entity type
Individual (Type 1)
Enumeration date
November 5, 2020
Last updated
April 5, 2022
Certified
March 23, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2000166259 MO

Mailing address

507 Primrose Ln
Houston, MO 65483-2106

Other practice locations (1)

  • 1433 S Sam Houston Blvd, Houston, MO 65483-2131 · (417) 967-4521

About Stacie Ely

Stacie Ely, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1309 NW 12TH Ave, Ava, MO 65608. The NPI number 1154922052 was assigned on November 5, 2020 and the record was last updated on April 5, 2022.

Stacie Ely lists a license in the registry: #2000166259 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacie Ely, RPH?

The NPI number is 1154922052.

What is the phone number of Stacie Ely?

The phone number listed for the practice location is (417) 683-4708.

Where is Stacie Ely located?

1309 NW 12TH Ave, Ava, MO 65608.

What is the taxonomy code for Stacie Ely?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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