TALLY SHANNON STARK

SOUTH SIOUX CITY, NE
NPI1467729103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NE  10371)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
Mrs. TALLY SHANNON STARK RP
1030 W 21ST ST
SOUTH SIOUX CITY, NE 68776-2661
Phone number: 402-494-8827
Mailing Address
Mrs. TALLY SHANNON STARK RP
1030 W 21ST ST
SOUTH SIOUX CITY, NE 68776-2661
Phone number: 402-494-8827