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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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