Provider Demographics
NPI:1285817437
Name:HARGROVE, STACY MCCLAIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:MCCLAIN
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MILL CREEK CV
Mailing Address - Street 2:
Mailing Address - City:WARD
Mailing Address - State:AR
Mailing Address - Zip Code:72176-8590
Mailing Address - Country:US
Mailing Address - Phone:501-843-9200
Mailing Address - Fax:
Practice Address - Street 1:55 MILL CREEK CV
Practice Address - Street 2:
Practice Address - City:WARD
Practice Address - State:AR
Practice Address - Zip Code:72176-8590
Practice Address - Country:US
Practice Address - Phone:501-843-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR08344183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist