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NPI Code Detail

MEDICARE: DR. MICHAEL ALAN STARK PHARMD

MEDICARE:  DR. MICHAEL ALAN STARK  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03131792OH
2183500000XPharmacist016104KY

General Provider Information

NPI Number : 1225452840
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALAN STARK PHARMD
Provider Business Mailing Address
First Line : 888 EASTGATE NORTH DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1588
Country : US
Telephone Number : 513-943-5710
Fax Number : 513-943-5765
Provider Business Practice Location Address
First Line : 888 EASTGATE NORTH DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1588
Country : US
Telephone Number : 513-943-5710
Fax Number : 513-943-5765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 02/18/2014

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Directions to “ DR. MICHAEL ALAN STARK PHARMD” Practice Location

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