Organization
STAR PHARMACY RX INC
Active
Other names
Stars Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI BORAIE (PRESIDENT/PIC)
(805) 720-7218
Entity
Organization
Contact information
Practice address
830 GUADALUPE ST, GUADALUPE, CA 93434-1316
(805) 219-0770
(805) 219-0772
Mailing address
830 GUADALUPE ST, GUADALUPE, CA 93434-1316
(805) 219-0770
(805) 219-0772
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53695
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154571
PK
—
Enumeration date
10/09/2015
Last updated
11/29/2016
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