Organization
STAR DISCOUNT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARDEN F HERITAGE R PH (PRESIDENT)
(256) 534-1118
Entity
Organization
Contact information
Practice address
704 PRATT AVE, HUNTSVILLE, AL 35801-3644
(256) 534-1118
(256) 534-1121
Mailing address
704 PRATT AVE, HUNTSVILLE, AL 35801-3644
(256) 534-1118
(256) 534-1121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
111666
AL
333600000X
Pharmacy
111666
AL
3336C0003X
Community/Retail Pharmacy
Primary
111666
AL
3336C0004X
Compounding Pharmacy
111666
AL
3336S0011X
Specialty Pharmacy
111666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009962810
—
AL
01
—
51097066
BCBS OF AL
AL
01
—
51519615
BCBS OF AL
AL
Enumeration date
01/03/2006
Last updated
08/03/2023
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