STACEY M BANTA
Pharmacy in Cicero, NY

License number
New York 051406
Category
Pharmacy
Type
Pharmacist
License number
New York PH21046
Category
Pharmacy
Type
Pharmacist
Address
Address 2
6189 Walgreens Pharmacy, Cicero, NY 13039
4945 Tinderbox Cir, Manlius, NY 13104
Phone
(315) 699-0812
(315) 699-0818 (Fax)
National Provider ID: 1558684852
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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