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Mrs. Tally Shannon Stark, RP
Pharmacist in South Sioux City, Nebraska
NPI 1467729103

Tally Shannon Stark is a Pharmacist based in South Sioux City, NE. Tally Shannon Stark practices in South Sioux City, NE and has the professional credentials of RP. The NPI Number for Tally Shannon Stark is 1467729103 and holds a License No. 10371 (Nebraska).

The current practice location address for Tally Shannon Stark is 1030 W 21St St, South Sioux City, NE and can be reached out via phone at 402-494-8827. You can also correspond with Tally Shannon Stark through the mailing address at 1030 W 21ST ST, SOUTH SIOUX CITY, NE - 68776-2661 (mailing address contact number: 402-494-8827).

Location: 1030 W 21St St, South Sioux City, NE, 68776-2661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467729103
Provider Name
Tally Shannon Stark
Credential
RP
Provider Entity Type
Individual
Gender
Female
Address
1030 W 21St St, South Sioux City, NE, 68776-2661
Phone Number
402-494-8827
Fax Number
Provider Enumeration Date
11/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1030 W 21St St
City
South Sioux City
State
Nebraska
Zip
68776-2661
Phone Number
402-494-8827
Fax Number
person
Provider Business Mailing Address Details
Address
1030 W 21St St
City
South Sioux City
State
Nebraska
Zip
68776-2661
Phone Number
402-494-8827
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10371 (Nebraska)
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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