Provider Demographics
NPI:1043520737
Name:ZIEGLER, STACY A (PHARM D)
Entity type:Individual
Prefix:DR
First Name:STACY
Middle Name:A
Last Name:ZIEGLER
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 1:1807 WOODSPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-0903
Mailing Address - Country:US
Mailing Address - Phone:870-972-8310
Mailing Address - Fax:870-972-1949
Practice Address - Street 1:1807 WOODSPRINGS RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-0903
Practice Address - Country:US
Practice Address - Phone:870-972-8310
Practice Address - Fax:870-972-1949
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist