Search › New York › 183500000X
Stacey Banta
NPI 1558684852 · on the registry since 2010 · sole proprietor
Practice
- Address
- 6189 Route 31
Walgreens Pharmacy
Cicero, NY 13039 - Phone
- (315) 699-0812
- Fax
- (315) 699-0818
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- NY, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York