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Organization
PROSTAR PHARMACY CONSULTANTS LLC
Active
Organization
PROSTAR PHARMACY CONSULTANTS LLC
Active
Other names
MonaCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA L STARR (PHARMACIST)
(541) 681-8117
Entity
Organization
Contact information
Practice address
91320 COBURG INDUSTRIAL WAY, BLDG 19, COBURG, OR 97408
(541) 681-8117
(541) 681-8164
Mailing address
91320 COBURG INDUSTRIAL WAY, BLDG 19, COBURG, OR 97408
(541) 681-8117
(541) 681-8164
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
RP0002261CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3842184
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
07/30/2008
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