Organization
COIF - SOE
Active
Organization
COIF - SOE
Active
Other names
Morning Star Pharmacy and Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA AMADI (PRESIDENT)
(972) 224-1340
Entity
Organization
Contact information
Practice address
2700 W PLEASANT RUN RD # W250, LANCASTER, TX 75146-1079
(972) 224-1340
(972) 224-1332
Mailing address
PO BOX 486, LANCASTER, TX 75146-0486
(972) 224-1340
(972) 224-1332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28564
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140488
PK
—
Enumeration date
05/28/2013
Last updated
05/28/2013
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