Provider Demographics
NPI:1689207979
Name:GARNER, STACY L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:L
Last Name:GARNER
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 1:1015 E PICKARD ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1062
Mailing Address - Country:US
Mailing Address - Phone:989-775-2110
Mailing Address - Fax:989-775-2165
Practice Address - Street 1:1015 E PICKARD ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1062
Practice Address - Country:US
Practice Address - Phone:989-775-2110
Practice Address - Fax:989-775-2165
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020400131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty