Peri Stark, is a
Pharmacist based in Fair Haven, Vermont. Peri Stark is licensed to practice in Vermont (license number 0330078234) and her current practice location is
62 Washington Street Ext, Fair Haven, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 265-3760.
NPI number for Peri Stark is 1528347150 and her current mailing address is 65 Homestead Rd, Saratoga Springs, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528347150.
Healthcare Provider's Profile
| Full Name | Peri Stark |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 62 Washington Street Ext, Fair Haven, Vermont |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528347150
- Provider Enumeration Date: 08/13/2011
- Last Update Date: 08/13/2011
Medical Identifiers
Medical identifiers for Peri Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528347150 | NPI | - | NPPES |
| 202-0014 | Other | | IMMUNIZING PHARMACIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 0330078234 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peri Stark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peri Stark,
65 Homestead Rd,
Saratoga Springs, NY 12866-5806
Ph: () - | Peri Stark,
62 Washington Street Ext,
Fair Haven, VT 05743-4402
Ph: (802) 265-3760 |
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