Organization
STAR PHARMACY
Active
Organization
STAR PHARMACY
Active
Other names
Star pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI DAHER (OWNER)
(313) 397-3597
Entity
Organization
Contact information
Practice address
13325 LIVERNOIS AVE, DETROIT, MI 48238-3876
(313) 397-3597
(313) 397-3837
Mailing address
13325 LIVERNOIS AVE, DETROIT, MI 48238-3876
(313) 397-3597
(313) 397-3837
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147602
PK
—
Enumeration date
08/18/2014
Last updated
03/07/2016
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