Stacey M Banta
Pharmacist
6189 Route 31, Walgreens Pharmacy, Cicero
New York, 13039
315-699-0812 315-699-0818
Stacey M Banta is a pharmacist in Cicero, New York. Patients can reach her at 6189 Route 31, Walgreens Pharmacy, Cicero or contact her on 315-699-0812. Active license number of Stacey M Banta is 051406 for Pharmacist in New York.
Stacey M Banta is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Stacey M Banta speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Stacey M Banta |
| Specialization: | Pharmacist |
| Gender: | Female |
| Location: | 6189 Route 31, Walgreens Pharmacy, Cicero,
New York, 13039 |
| Phone: | 315-699-0812 |
| Fax: | 315-699-0818 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Stacey M Banta are as mentioned below.
| NPI Number: | 1558684852 |
| NPI Enumeration Date: | 02 Mar, 2010 |
| NPI Last Update On: | 02 Mar, 2010 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey M Banta are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 051406 | New York | Primary | |
| Pharmacist | PH21046 | Massachusetts | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4945 Tinderbox Cir,
Manlius, New York |
| Zip: | 13104-2131 |
| Phone Number: | 315-699-0812 |
| Fax Number: | 315-699-0818 |
Patients can reach Stacey M Banta at
6189 Route 31, Walgreens Pharmacy, Cicero, New York or can
call on phone at 315-699-0812.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.