Provider Demographics
NPI:1538481825
Name:FINAZZO, STACEY KATHLEEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:KATHLEEN
Last Name:FINAZZO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:HARBORCREEK
Mailing Address - State:PA
Mailing Address - Zip Code:16421-1626
Mailing Address - Country:US
Mailing Address - Phone:814-899-6280
Mailing Address - Fax:814-899-6265
Practice Address - Street 1:5741 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:HARBORCREEK
Practice Address - State:PA
Practice Address - Zip Code:16421-1626
Practice Address - Country:US
Practice Address - Phone:814-899-6280
Practice Address - Fax:814-899-6265
Is Sole Proprietor?:No
Enumeration Date:2010-02-27
Last Update Date:2010-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP041478L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist