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Organization
STARX PHARMACY
Active
Organization
STARX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE SARATAN (PHARMACIST IN CHARGE)
(352) 323-9555
Entity
Organization
Contact information
Practice address
802 E DIXIE AVE, LEESBURG, FL 34748-6014
(352) 323-9555
Mailing address
802 EAST DIXIE AVENUE, LEESBURG, FL 34748
(352) 323-9555
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH25290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004471900
—
FL
Enumeration date
09/25/2014
Last updated
09/25/2014
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