National Provider Identifier

Stephanie Blanche Mustico, PHARMD

Stephanie Blanche Mustico, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 737-5090.

NPI 1194997221Elmira, NYPharmacist

Profile Overview

NPI
1194997221
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
March 28, 2008
Last Updated
April 21, 2017

Practice Location

  • 1100 Clemens Center Pkwy
  • Attn: Pharmacy Manager
  • Elmira, NY 14901-1563

Phone: (607) 737-5090

Mailing Address

  • 1500 Brooks Ave
  • Attn: Pharmacy Manager
  • Rochester, NY 14624-3512

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1194997221
Entity Type
Individual
Last Name
Mustico
First Name
Stephanie
Middle Name
Blanche
Credential
PHARMD
Mailing Street Address
1500 Brooks Ave
Mailing Address Line 2
Attn: Pharmacy Manager
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3512
Mailing Country
US
Mailing Phone
(585) 239-2020
Mailing Fax
(585) 239-2015
Practice Street Address
1100 Clemens Center Pkwy
Practice Address Line 2
Attn: Pharmacy Manager
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-1563
Practice Country
US
Practice Phone
(607) 737-5090
Practice Fax
(637) 737-5067
Enumeration Date
March 28, 2008
Last Updated
April 21, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
051079 (NY, Pharmacist License)