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Organization

STARCREST RX, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIKEZIE EDU (OWNER)
(210) 310-3113
Entity
Organization

Contact information

Practice address
12151 JONES MALTSBERGER RD STE 113, SAN ANTONIO, TX 78247-4233
(210) 310-3113
(210) 310-3113
Mailing address
12151 JONES MALTSBERGER RD STE 113, SAN ANTONIO, TX 78247-4233
(210) 310-3113
(210) 310-3113

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12345
NA
TX
Enumeration date
05/31/2021
Last updated
05/31/2021
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  • EDI platform