Thomas Hall Stark III, PHARMD

NPI #1417579772 in Pea Ridge, Arkansas

Provider Information

NPI Number: 1417579772
Entity Type: Individual
Name: Thomas Hall Stark III, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 9, 2020
Last Updated: May 9, 2020

Practice Location

Address: 240 SLACK ST
City: Pea Ridge
State: Arkansas
ZIP Code: 72751-3759
Phone: (479) 451-9008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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