Provider Demographics
NPI:1306941745
Name:STOLARSKI, SHIRLEY C
Entity type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:C
Last Name:STOLARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SHIRLEY
Other - Middle Name:C
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:462 GRIDER ST.
Mailing Address - Street 2:SUITE G103
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3098
Mailing Address - Country:US
Mailing Address - Phone:716-898-3284
Mailing Address - Fax:716-898-4666
Practice Address - Street 1:462 GRIDER ST.
Practice Address - Street 2:SUITE G103
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3098
Practice Address - Country:US
Practice Address - Phone:716-898-3284
Practice Address - Fax:716-898-4666
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist