Stacy Lynn Cella, PHARMD

Individual provider Active NPI Pharmacist · Moosic, PA

NPI 1285746644 · NPPES record last updated Jul 29, 2015

Key facts

NPI
1285746644
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP440227 (PA)
Practice address
3382 Birney PLZ
Moosic, PA 18507-1560
Phone
(570) 341-0915
Fax
(847) 396-2578
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP440227PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP440227 PA Yes

Addresses

Primary practice location

3382 Birney PLZ
Moosic, PA 18507-1560

Mailing address

663 Orange Rd
Dallas, PA 18612-6111
Phone (570) 333-5385

Other identifiers

IdentifierTypeStateIssuer
RPI000104OtherPAINJECTABLE ADMINISTRATION LICENSE
RP440227OtherPASTATE LICENSE #

Other providers in Moosic, PA

All providers in Moosic, PA · Pharmacist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.