| Stacey M Banta, | |
|
6189 Route 31, Walgreens Pharmacy, Cicero, NY 13039 | |
| (315) 699-0812 | |
| (315) 699-0818 |
| Full Name | Stacey M Banta |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 6189 Route 31, Cicero, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558684852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051406 (New York) | Primary |
| 183500000X | Pharmacist | PH21046 (Massachusetts) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey M Banta, 4945 Tinderbox Cir, Manlius, NY 13104-2131 Ph: (315) 699-0812 | Stacey M Banta, 6189 Route 31, Walgreens Pharmacy, Cicero, NY 13039 Ph: (315) 699-0812 |
Daniel Hind, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8150 Thompson Rd, Cicero, NY 13039 Phone: 315-699-0340 | |
Allyson Harmon, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8064 Brewerton Rd, Cicero, NY 13039 Phone: 315-698-0105 | |
Mr. Richard George Arnold, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7939 Brewerton Rd, Cicero, NY 13039 Phone: 315-699-6384 | |
Catherine Marie Fuller, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6189 State Route 31, Cicero, NY 13039 Phone: 315-699-0812 | |
Mrs. Courtney Janne Mooney, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8150 Thompson Rd, Cicero, NY 13039 Phone: 315-699-0340 Fax: 315-699-0348 | |
Samantha Danielle Dillon, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8061 Brewerton Road, Cicero, NY 13039 Phone: 315-698-2380 | |
Mrs. Michelle Ann Sellin, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 8064 Brewerton Rd, Cicero, NY 13039 Phone: 315-698-0105 Fax: 315-698-0403 |