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Organization
DAYSTAR PHARMACY INC
Active
Organization
DAYSTAR PHARMACY INC
Active
Other names
DAY STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MCCREARY BS IN PHARMACY (PIC)
(281) 489-9409
Entity
Organization
Contact information
Practice address
3926 BAHLER AVE, MANVEL, TX 77578-2823
(281) 489-9409
(281) 489-4035
Mailing address
PO BOX 307, LAKE JACKSON, TX 77566-0307
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
14613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350012
—
TX
01
—
4584226
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/20/2006
Last updated
12/11/2009
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