Individual
MR. JERRY P STANCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 FENIMORE BLVD, SPRINGFIELD, MA 01108-3518
(413) 222-5788
Mailing address
23 FENIMORE BLVD, SPRINGFIELD, MA 01108-3518
(413) 222-5788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17471
MA
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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