Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Park

Individual provider Pharmacist · NPI 1205290459

Stacy Park is a Pharmacist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016

Practice location Address checks out

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone: (602) 243-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S020120 (AZ)

Record details

NPI number1205290459
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 13, 2016
Mailing address4225 E McDowell Rd, 1103, Phoenix, AZ 85008-7475

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