Stacey Mudd-Ray, RPH

Pharmacist · Hannibal, MO

Individual Active NPI

NPI number 1851674758

Practice location

455 Highway 61 N
Hannibal, MO 63401-2885
Phone
(573) 221-6557
Fax
(573) 248-8041

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NPI record

NPI
1851674758
Entity type
Individual (Type 1)
Enumeration date
September 27, 2011
Last updated
September 27, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 041506 MO

Mailing address

1111 Cabin Club Dr
Alton, IL 62002-7414
Phone
(618) 550-3635

About Stacey Mudd-Ray

Stacey Mudd-Ray, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 455 Highway 61 N, Hannibal, MO 63401-2885. The NPI number 1851674758 was assigned on September 27, 2011 and the record was last updated on September 27, 2011.

Stacey Mudd-Ray lists a license in the registry: #041506 (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 Stacey Mudd-Ray, RPH?

The NPI number is 1851674758.

What is the phone number of Stacey Mudd-Ray?

The phone number listed for the practice location is (573) 221-6557.

Where is Stacey Mudd-Ray located?

455 Highway 61 N, Hannibal, MO 63401-2885.

What is the taxonomy code for Stacey Mudd-Ray?

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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