Organization
STAR PHARMACY
Active
Organization
STAR PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY A LUSKIN (PRESIDENT)
(818) 304-0881
Entity
Organization
Contact information
Practice address
14400 VANOWEN ST, VAN NUYS, CA 91405-4037
(818) 304-0881
(818) 304-0882
Mailing address
14400 VANOWEN ST, VAN NUYS, CA 91405-4037
(818) 304-0881
(818) 304-0882
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
PHY42197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHAY21970
—
CA
Enumeration date
06/02/2006
Last updated
08/22/2020
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