Provider Demographics
NPI:1407144934
Name:GARNER, STACI HOBGOOD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:STACI
Middle Name:HOBGOOD
Last Name:GARNER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27828-0188
Mailing Address - Country:US
Mailing Address - Phone:252-787-5990
Mailing Address - Fax:252-787-5991
Practice Address - Street 1:3754 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:NC
Practice Address - Zip Code:27828-8546
Practice Address - Country:US
Practice Address - Phone:252-787-5990
Practice Address - Fax:252-787-5991
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist