Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Stacey Laraine Balog, PHARMD, RPH

Individual provider Pharmacist · NPI 1548407190

Dr. Stacey Laraine Balog, PHARMD, RPH is a Pharmacist in Auburn, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

153 Grant Ave
Auburn, NY 13021-1501
Phone: (315) 253-0379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 052623 (NY)

Record details

NPI number1548407190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , RPH
Sole proprietorNo
NPI enumeratedJanuary 17, 2009
Last updated in NPPESJanuary 17, 2009

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