Organization
STARMOUNT PHARMACY LLC
Active
Other names
Starmount Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY OKAFOR (PRESIDENT)
(757) 513-8987
Entity
Organization
Contact information
Practice address
4601 W MARKET ST, GREENSBORO, NC 27407-1231
(757) 513-8987
(336) 419-4560
Mailing address
4403 PAULA DR, WINSTON SALEM, NC 27127-6835
(757) 513-8987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166245
PK
—
Enumeration date
11/10/2016
Last updated
02/28/2017
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