Individual
ELIZABETH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 W 200 N, KAYSVILLE, UT 84037-9711
(385) 888-5320
Mailing address
256 E 2300 S, KAYSVILLE, UT 84037-9665
(801) 499-7639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5039290-1701
UT
Other
Enumeration date
10/29/2019
Last updated
02/10/2020
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