Stark, Rebecca

Stark, Rebecca is an sole proprietor health care provider with primary practice located at 192 N Main St , Fond Du Lac WI 54935-3462. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Stark, Rebecca can be contacted via phone (920) 921-5264.

Contact Information

Primary practice address
192 N Main St Fond Du Lac WI 54935-3462
Phone: (920) 921-5264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15441-40 Wisconsin

Profile Details

NPI number 1669758280
LBN Legal business name Stark, Rebecca
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers