Kevin Staral is a Pharmacist based in Wauwatosa, WI. Kevin Staral practices in Wauwatosa, WI. The NPI Number for Kevin Staral is 1275017584 and holds a License No. 19344 (Wisconsin).
The current practice location address for Kevin Staral is 11111 W Burleigh St, Wauwatosa, WI and can be reached out via phone at 414-290-0910.
Location: 11111 W Burleigh St, Wauwatosa, WI, 53222-3211
Provider Profile Details
NPI Number
1275017584
Provider Name
Kevin Staral
Credential
Provider Entity Type
Individual
Gender
Male
Address
11111 W Burleigh St, Wauwatosa, WI, 53222-3211
Phone Number
414-290-0910
Fax Number
Provider Enumeration Date
09/21/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19344-40 | 01 | WI | PHARMACIST LICENSE |
Provider Business Practice Location Address Details
Address
11111 W Burleigh St
City
State
Zip
53222-3211
Phone Number
414-290-0910
Fax Number
Provider Business Mailing Address Details
Address
11111 W Burleigh St
City
State
Zip
53222-3211
Phone Number
414-290-0910
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
19344 (Wisconsin)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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