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Organization
STAR DISCOUNT PHARMACY INC
Active
Organization
STAR DISCOUNT PHARMACY INC
Active
Other names
STAR DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARDEN HERITAGE (SUPERVISING PHARMACIST)
(256) 534-1118
Entity
Organization
Contact information
Practice address
704 PRATT AVE NE, HUNTSVILLE, AL 35801
(256) 534-1118
(256) 534-1121
Mailing address
704 PRATT AVE NE, HUNTSVILLE, AL 35801-3644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
111666
AL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
111666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129672
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003105
—
AL
Enumeration date
01/04/2006
Last updated
02/29/2024
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