Organization
TRISTAR DISCOUNT PHARMACY LLC
Active
Other names
Tristar Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER CHAAR RPH (PIC MEMBER)
(315) 383-5797
Entity
Organization
Contact information
Practice address
1502 N SEMORAN BLVD STE 154, ORLANDO, FL 32807-3545
(407) 440-3436
(407) 237-0674
Mailing address
1502 N SEMORAN BLVD STE 154, ORLANDO, FL 32807-3545
(407) 440-3436
(407) 237-0674
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01997200
—
FL
01
—
2164650
PK
—
Enumeration date
10/12/2016
Last updated
07/19/2018
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