Provider Demographics
NPI:1720537558
Name:BELL, STACY JOSEPH (BS PHARM)
Entity Type:Individual
Prefix:MR
First Name:STACY
Middle Name:JOSEPH
Last Name:BELL
Suffix:
Gender:M
Credentials:BS PHARM
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 5930
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64171-0930
Mailing Address - Country:US
Mailing Address - Phone:816-799-0123
Mailing Address - Fax:816-931-0282
Practice Address - Street 1:4240 SOUTHWEST TRFY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-6910
Practice Address - Country:US
Practice Address - Phone:816-799-0123
Practice Address - Fax:816-931-0282
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO042880183500000X
KS1-112084183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist