Individual
BAILEY D STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 318-1376
(208) 465-6414
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11318
ID
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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