Provider Demographics
NPI:1073761425
Name:RICHARDSON, STACIE MARIE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:STACIE
Middle Name:MARIE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 LANCASTER ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3815
Mailing Address - Country:US
Mailing Address - Phone:978-537-1327
Mailing Address - Fax:508-485-0432
Practice Address - Street 1:118 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3815
Practice Address - Country:US
Practice Address - Phone:978-537-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2025-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47088183500000X
VT033.0135415183500000X
MAPH27626183500000X
RIRPH06654183500000X
NHPHCY-05036183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist