Organization
P STARK ENTERPRISES INC
Active
Other names
PHARMACY 2 YOUR DOOR
Organization subpart
No
Provider details
NPI number
Authorized official
PRESTON STARK (OWNER)
(615) 585-4159
Entity
Organization
Contact information
Practice address
1838 ELM HILL PIKE, STE 125B, NASHVILLE, TN 37210-3726
(800) 940-4901
(888) 208-1097
Mailing address
1838 ELM HILL PIKE, STE 125B, NASHVILLE, TN 37210-3726
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4440979
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/28/2008
Last updated
05/08/2009
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