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Organization
STAR CARE PHARMACY INC
Active
Organization
STAR CARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIYA RACKMAN (CEO, PIC)
(718) 262-8789
Entity
Organization
Contact information
Practice address
17520 HILLSIDE AVE, JAMAICA, NY 11432-5773
(718) 262-8789
(718) 262-9083
Mailing address
17520 HILLSIDE AVE, JAMAICA, NY 11432-5773
(718) 262-8789
(718) 262-9083
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035333
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168708
PK
—
Enumeration date
04/03/2017
Last updated
04/06/2017
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