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Organization

STAR DISCOUNT PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARDEN W HERITAGE R PH (PRESIDENT)
(256) 534-1118
Entity
Organization

Contact information

Practice address
7950 HIGHWAY 72 W, MADISON, AL 35758-6416
(256) 721-0739
(256) 721-0778
Mailing address
8020 HIGHWAY 72 W STE G, MADISON, AL 35758-9567
(256) 721-0739
(256) 721-0778

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
111666
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009933203
AL
01
51530840
BCBS OF AL
AL
Enumeration date
01/04/2006
Last updated
08/03/2023
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