Tanya Stark, Pharm. D
Pharmacist in Vista, CA. Individual provider (NPI-1).
NPI number1114200540
StatusActive
Last updated in NPPESSep 22, 2011
Details
- NPI
- 1114200540
- Entity type
- Individual (NPI-1)
- Name
- Tanya Stark
- Credential
- Pharm. D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2011
- Last updated
- Sep 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 56317 | CA | Yes |
Practice location
1510 N Santa Fe AveVista, CA 92083-2001
Phone 760-724-3763 · Fax 760-724-3792
Mailing address
1510 N Santa Fe AveVista, CA 92083-2001
Phone 760-724-3763 · Fax 760-724-3792
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