Organization Name: | STAR DISCOUNT PHARMACY INC |
NPI Number: | 1265410088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARDEN F HERITAGE (PRESIDENT) |
Mailing Address: | 12078 Highway 231 431 North Meridianville |
State: | AL US |
Postal Code: | 357591225 |
Phone Number: | 2568290209 |
Fax Number: | 2568290992 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 12/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 112104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |