Individual
DR. JASON PATRICK STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1151 W RANDALL ST, COOPERSVILLE, MI 49404-1355
(616) 837-6219
(616) 837-9525
Mailing address
1151 W RANDALL ST, COOPERSVILLE, MI 49404-1355
(616) 837-6219
(616) 837-9525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036253
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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