Organization
STAR DISCOUNT PHARMACY INC
Active
Other names
STAR DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARDEN HERITAGE (PRESIDENT)
(256) 534-1118
Entity
Organization
Contact information
Practice address
12078 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-1225
(256) 829-0209
(256) 829-0992
Mailing address
12078 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-1225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112104
AL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131209
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003302
—
AL
Enumeration date
01/04/2006
Last updated
10/30/2023
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