Organization
STAR MARKETS COMPANY INC
Active
Other names
Shaws Pharmacy #4596
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3932
Entity
Organization
Contact information
Practice address
18 SISSON RD, HARWICH PORT, MA 02646
(508) 432-0895
(508) 432-3508
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 83706-3940
(208) 395-6200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS3268
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000074B
—
MA
01
—
2039246
PK
—
Enumeration date
05/30/2006
Last updated
07/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us