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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 (PRESIDENT)
(256) 534-1118
Entity
Organization
Contact information
Practice address
12078 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-1225
(256) 829-0209
(256) 829-0992
Mailing address
12078 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-1225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112104
AL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131209
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003302
—
AL
Enumeration date
01/04/2006
Last updated
10/30/2023
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