Travis Stark

NPI #1639618093 in Van Nuys, California

Provider Information

NPI Number: 1639618093
Entity Type: Individual
Name: Travis Stark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 17, 2017
Last Updated: Feb 17, 2017

Practice Location

Address: 5224 COLDWATER CANYON AVE
City: Van Nuys
State: California
ZIP Code: 91401-6146
Phone: (818) 487-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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