| Doctor Name: | MARLENE M STACEY |
| NPI Number: | 1700051547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPH |
| License Number: | 20379 |
| Business Practice Address: | 651 N Hwy 183 Leander, TX - 786417001 |
| Business Phone Number: | 5125287777 |
| Business Fax Number: | 5125287780 |
| Mailing Address: | 1322 Pasa Tiempo, LEANDER |
| State: | TX |
| Postal Code: | 786413639 |
| Phone Number: | 5122604179 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 04/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 20379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |