Stacey M Banta
NPI #1558684852 in Cicero, New York
Provider Information
- NPI Number
- 1558684852
- Entity Type
- Individual
- Name
- Stacey M Banta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Mar 2, 2010
- Last Updated
- Mar 2, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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