DR. Jason Patrick Stark, PHARMD

NPI #1720245731 in Coopersville, Michigan

Provider Information

NPI Number: 1720245731
Entity Type: Individual
Name: DR. Jason Patrick Stark, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 1151 W RANDALL ST
City: Coopersville
State: Michigan
ZIP Code: 49404-1355
Phone: (616) 837-6219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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