# FOUR STAR RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANS COMMUNITY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619314606
- **Authorized official:** MR. DIPAK PATEL PHARMACIST (PRESIDENT)
- **Authorized official phone:** (732) 421-6533

## Contact information

- **Practice address:** 1835 N BROADWAY AVE, SUITE 101, MELROSE PARK, IL 60160-2040
- **Practice address phone:** (732) 421-6533
- **Mailing address:** 1835 N BROADWAY AVE, SUITE 101, MELROSE PARK, IL 60160-2040
- **Mailing address phone:** (732) 421-6533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054018207 | IL | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 05/30/2013