Individual provider · Type 1 NPI

Rebecca Stark, PharmD

Pharmacist · Fond Du Lac, WI

NPI number 1669758280 Active

Practice location

192 N Main St
Fond Du Lac, WI 54935-3462

Call (920) 921-5264 Map

Mailing address

2461 Scenic Dr
Kewaskum, WI 53040-9713

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X15441-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1669758280

Rebecca Stark, PharmD's National Provider Identifier is 1669758280, issued on Oct 27, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Oct 27, 2011.