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Organization

HOWARD STARK PROFESSIONAL PHARMACY

Active
Other names
Stark Pharmacy, Starks Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ERNIE RUPP RPH (OWNER)
(913) 345-3800
Entity
Organization

Contact information

Practice address
5701 W 119TH ST STE 125, OVERLAND PARK, KS 66209-3721
(913) 345-3800
(913) 345-3803
Mailing address
5701 W 119TH ST STE 125, OVERLAND PARK, KS 66209-3721
(913) 345-3800
(913) 345-3803

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8296
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10043276079
KS
Enumeration date
10/04/2006
Last updated
11/19/2021
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