# STAR DISCOUNT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336127158
- **Authorized official:** MR. DARDEN F HERITAGE R PH (PRESIDENT)
- **Authorized official phone:** (256) 534-1118

## Contact information

- **Practice address:** 704 PRATT AVE, HUNTSVILLE, AL 35801-3644
- **Practice address phone:** (256) 534-1118
- **Practice address fax:** (256) 534-1121
- **Mailing address:** 704 PRATT AVE, HUNTSVILLE, AL 35801-3644
- **Mailing address phone:** (256) 534-1118
- **Mailing address fax:** (256) 534-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 111666 | AL | — |
| 333600000X | Pharmacy | 111666 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 111666 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | 111666 | AL | — |
| 3336S0011X | Specialty Pharmacy | 111666 | AL | — |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 08/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009962810 | — | AL |
| 01 | — | 51097066 | BCBS OF AL | AL |
| 01 | — | 51519615 | BCBS OF AL | AL |
