# PENDLETON STAR PHARMACY, INC.

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

## Provider details

- **NPI number:** 1548692262
- **Authorized official:** JUDY IZARD RPH (OWNER/SUPERVISOR)
- **Authorized official phone:** (716) 210-3152

## Contact information

- **Practice address:** 6503 CAMPBELL BLVD, LOCKPORT, NY 14094-9210
- **Practice address phone:** (716) 210-3152
- **Mailing address:** 6503 CAMPBELL BLVD, LOCKPORT, NY 14094-9210
- **Mailing address phone:** (716) 210-3152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 042308 | NY | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 01/25/2014