Provider Demographics
NPI:1912185935
Name:CONROY, STEPHANIE BELL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:BELL
Last Name:CONROY
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 1:94 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12803-4842
Mailing Address - Country:US
Mailing Address - Phone:518-792-5575
Mailing Address - Fax:518-792-6415
Practice Address - Street 1:94 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12803-4842
Practice Address - Country:US
Practice Address - Phone:518-792-5575
Practice Address - Fax:518-792-6415
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist