Provider Demographics
NPI:1487471397
Name:BIALASZEWSKI, STELLA (PHARMD)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:BIALASZEWSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 PONTIAC RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14057-9542
Mailing Address - Country:US
Mailing Address - Phone:716-949-5565
Mailing Address - Fax:
Practice Address - Street 1:140 PINE STREET
Practice Address - Street 2:RITE AID
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075
Practice Address - Country:US
Practice Address - Phone:716-649-9505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist