SearchIdahoPharmacist

Kenneth Stark, PHARMD

NPI 1255674164 · on the registry since 2013

Practice

Address
10555 W Overland Rd
Boise, ID 83709
Phone
(208) 321-2669
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Pharmacist
183500000X
Also registered as
Pharmacist
Pharmacist
Pharmacist
Pharmacist
Licence states on file
ID, UT, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho