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Individual

DR. NICHOLE STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
36 JAMES ST, EAST PROVIDENCE, RI 02914-4312
(920) 428-2247

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
23676
IA
1835P1300X
Psychiatric Pharmacist
Primary
23676
IA

Other

Enumeration date
04/03/2021
Last updated
08/05/2025
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