Individual
THOMAS HALL STARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
240 SLACK ST, PEA RIDGE, AR 72751-3759
(479) 451-9008
Mailing address
1428 LE CHESNAY DR, CENTERTON, AR 72719-8805
(479) 644-4136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12270
AR
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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