Organization
STAR PHARMACY INC
Active
Other names
STAR MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD BOBROVICZ PHARMD (OWNER-PRES)
(580) 255-7165
Entity
Organization
Contact information
Practice address
2340 W ELK AVE RM 10, DUNCAN, OK 73533-5649
(580) 255-7165
(580) 255-0720
Mailing address
2340 W ELK AVE RM 10, DUNCAN, OK 73533-5649
(580) 255-7165
(580) 255-0720
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
136164
OK
3336L0003X
Long Term Care Pharmacy
136164
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100242650A
—
OK
01
—
2073447
PK
—
Enumeration date
10/20/2006
Last updated
07/17/2024
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