# DAYSTAR PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DAY STAR PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861556458
- **Authorized official:** LAUREN MCCREARY BS IN PHARMACY (PIC)
- **Authorized official phone:** (281) 489-9409

## Contact information

- **Practice address:** 3926 BAHLER AVE, MANVEL, TX 77578-2823
- **Practice address phone:** (281) 489-9409
- **Practice address fax:** (281) 489-4035
- **Mailing address:** PO BOX 307, LAKE JACKSON, TX 77566-0307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 14613 | TX | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 12/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 350012 | — | TX |
| 01 | — | 4584226 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |