Individual
DR. THOMAS JACKSON STARK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1580
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007086
WV
Other
Enumeration date
06/30/2011
Last updated
08/03/2013
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