# PROSTAR PHARMACY CONSULTANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MonaCare Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760564561
- **Authorized official:** MRS. VICTORIA L STARR (PHARMACIST)
- **Authorized official phone:** (541) 681-8117

## Contact information

- **Practice address:** 91320 COBURG INDUSTRIAL WAY, BLDG 19, COBURG, OR 97408
- **Practice address phone:** (541) 681-8117
- **Practice address fax:** (541) 681-8164
- **Mailing address:** 91320 COBURG INDUSTRIAL WAY, BLDG 19, COBURG, OR 97408
- **Mailing address phone:** (541) 681-8117
- **Mailing address fax:** (541) 681-8164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | RP0002261CS | OR | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 07/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3842184 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |