Organization
GREEN STAR PHARMACY
Active
Other names
Green Star corp Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRUSNEL AUGUSTIN RPH (PHARMACY MANAGER/ PHARMACIST)
(123) 924-0434
Entity
Organization
Contact information
Practice address
2950 WINKLER AVE STE 701, FORT MYERS, FL 33916-9322
(239) 931-3605
(239) 931-3605
Mailing address
2611 30TH ST SW, LEHIGH ACRES, FL 33976-4091
(239) 240-4345
(239) 931-3605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396015798
—
FL
Enumeration date
07/27/2020
Last updated
07/27/2020
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