Individual
MS. STACEY LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1275 YORK AVE, PHARMACY DEPT., NEW YORK, NY 10021-6007
(212) 639-8464
Mailing address
167 E 67TH ST, APT 16D, NEW YORK, NY 10021-5914
(646) 284-7885
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
048576
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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