# STAR MARKETS COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STAR MARKET PHARMACY \#3696
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386106953
- **Authorized official:** KATHY GIANNAKOPOULOS (MANAGER, ENROLLMENTS)
- **Authorized official phone:** (208) 395-3954

## Contact information

- **Practice address:** 90 CAUSEWAY ST, BOSTON, MA 02144
- **Practice address phone:** (857) 409-3410
- **Practice address fax:** (857) 409-3420
- **Mailing address:** 250 E PARKCENTER BLVD, BOISE, ID 83706-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 07/31/2024