Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Stack

Individual provider Pharmacist · NPI 1780262816

Marissa Stack is a Pharmacist in Syracuse, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

4751 Onondaga Blvd
Syracuse, NY 13219-3315
Phone: (315) 476-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5825 Tilton Rd, East Syracuse, NY 13057-3045 — (315) 427-4423

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 067675 (NY)

Record details

NPI number1780262816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address4751 Onondaga Blvd, Syracuse, NY 13219-3315

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