Mrs Tally Shannon Stark, RP - Pharmacist in South Sioux City, NE

Mrs Tally Shannon Stark, RP is a Pharmacist based in South Sioux City, Nebraska. Mrs Tally Shannon Stark is licensed to practice in Nebraska (license number 10371) and her current practice location is 1030 W 21st St, South Sioux City, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 494-8827.

NPI number for Mrs Tally Shannon Stark is 1467729103 and her current mailing address is 1030 W 21st St, South Sioux City, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467729103.

Contact Information

Mrs Tally Shannon Stark, RP
1030 W 21st St,
South Sioux City, NE 68776-2661
(402) 494-8827
Not Available

Healthcare Provider's Profile

Full NameMrs Tally Shannon Stark
GenderFemale
SpecialityPharmacist
Location1030 W 21st St, South Sioux City, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467729103
  • Provider Enumeration Date: 11/23/2011
  • Last Update Date: 11/23/2011

Medical Identifiers

Medical identifiers for Mrs Tally Shannon Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467729103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 10371 (Nebraska)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. Mrs Tally Shannon 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 AddressPractice Location Address
Mrs Tally Shannon Stark, RP
1030 W 21st St,
South Sioux City, NE 68776-2661

Ph: (402) 494-8827
Mrs Tally Shannon Stark, RP
1030 W 21st St,
South Sioux City, NE 68776-2661

Ph: (402) 494-8827

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› Verified 5 days ago


Pharmacist in South Sioux City, NE

Sonya Lynette Sedahl, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Cornhusker Plaza, Hy-vee Pharmacy #1620, South Sioux City, NE 68776
Phone: 402-494-3021    Fax: 402-494-4969
Jamie Thoene,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Cornhusker Dr, South Sioux City, NE 68776
Phone: 402-494-8850    Fax: 402-494-8864
Kristin Rumsey, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Cornhusker Dr, South Sioux City, NE 68776
Phone: 402-494-8850    Fax: 402-494-8864
Jeremy Wells, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1030 W 21st St, South Sioux City, NE 68776
Phone: 402-494-8827    Fax: 402-494-0328
Matthew Steele,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1030 W 21st St, South Sioux City, NE 68776
Phone: 402-494-8827    
Dr. Tammy J Cox, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Cornhusker Dr, South Sioux City, NE 68776
Phone: 402-494-8850    Fax: 402-494-8864
Syra Ruhl,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1030 W 21st St, South Sioux City, NE 68776
Phone: 402-494-8927    

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