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Organization

DAYSTAR PHARMACY INC

Active
Other names
DAY STAR PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN MCCREARY BS IN PHARMACY (PIC)
(281) 489-9409
Entity
Organization

Contact information

Practice address
3926 BAHLER AVE, MANVEL, TX 77578-2823
(281) 489-9409
(281) 489-4035
Mailing address
PO BOX 307, LAKE JACKSON, TX 77566-0307

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
14613
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350012
TX
01
4584226
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
12/20/2006
Last updated
12/11/2009
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