Provider Demographics
NPI:1558659177
Name:STARRS, KERI E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:E
Last Name:STARRS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 MARVIN RD NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-4701
Mailing Address - Country:US
Mailing Address - Phone:360-252-2235
Mailing Address - Fax:
Practice Address - Street 1:1243 MARVIN RD NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-4701
Practice Address - Country:US
Practice Address - Phone:360-252-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-17
Last Update Date:2011-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60224060183500000X
AK1792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist