Organization
HOWARD STARK PHARMACY INC
Active
Other names
STARK PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE RUPP RPH (PHARMACIST IN CHARGE)
(816) 363-3232
Entity
Organization
Contact information
Practice address
6420 PROSPECT AVE STE T103, T103, KANSAS CITY, MO 64132-4175
(816) 363-3232
(816) 361-6402
Mailing address
6420 PROSPECT AVE, T103, KANSAS CITY, MO 64132-4147
(816) 363-3232
(816) 361-6402
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2001030491
MO
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634295
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
10/30/2011
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