Organization
STAR DISCOUNT PHARMACY INC
Active
Other names
STAR DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARDEN HERITAGE RPH (PRESIDENT)
(256) 534-1118
Entity
Organization
Contact information
Practice address
8020 HIGHWAY 72 W STE G, MADISON, AL 35758-9567
(256) 721-0739
(256) 721-0879
Mailing address
8020 HIGHWAY 72 W STE G, MADISON, AL 35758-9567
(256) 721-0739
(256) 721-0879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
110462
AL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133241
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003655
—
AL
Enumeration date
01/03/2006
Last updated
10/30/2023
Update your record
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