Organization
STAR DISCOUNT PHARMACY INC
Active
Other names
STAR DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARDEN HERITAGE (SUPERVISING PHARMACIST)
(256) 534-1118
Entity
Organization
Contact information
Practice address
704 PRATT AVE NE, HUNTSVILLE, AL 35801
(256) 534-1118
(256) 534-1121
Mailing address
704 PRATT AVE NE, HUNTSVILLE, AL 35801-3644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
111666
AL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
111666
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129672
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003105
—
AL
Enumeration date
01/04/2006
Last updated
02/29/2024
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