Healthcare Provider Details

I. General information

NPI: 1669442083
Provider Name (Legal Business Name): STACEY ANN GRASSI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

150 ABBEY RD
DANVILLE PA
17821-8423
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6672
  • Fax:
Mailing address:
  • Phone: 570-275-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP437575
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP437575
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: