MR. Jerry P Stanczak

NPI #1336432574 in Springfield, Massachusetts

Provider Information

NPI Number: 1336432574
Entity Type: Individual
Name: MR. Jerry P Stanczak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 20, 2011
Last Updated: May 20, 2011

Practice Location

Address: 23 FENIMORE BLVD
City: Springfield
State: Massachusetts
ZIP Code: 01108-3518
Phone: (413) 222-5788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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