Individual
KYLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 COLLEGE DR, OSCEOLA, IA 50213-8235
(641) 342-1662
(641) 342-1664
Mailing address
1641 G50 HWY, SAINT CHARLES, IA 50240-9501
(515) 664-7056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21053
IA
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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