Organization
STARR DME & PHARMACY INC
Active
Other names
Starr Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENE MARTINEZ (PHARMACIST IN CHARGE)
(956) 488-2742
Entity
Organization
Contact information
Practice address
214 CHAPARRAL BLVD, SUITE C, RIO GRANDE CITY, TX 78582-4613
(956) 488-2742
(956) 488-2771
Mailing address
214 CHAPARRAL BLVD, SUITE C, RIO GRANDE CITY, TX 78582-4613
(956) 488-2742
(956) 488-2771
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4555174
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/24/2010
Last updated
04/07/2010
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