Organization Name: | INDIAN STAR PHARM INC. |
NPI Number: | 1366738916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO REYES (PRESIDENT) |
Mailing Address: | 9500 Nw 79 Av Bay4 Hialeah Gardens |
State: | FL US |
Postal Code: | 33016 |
Phone Number: | 7865066084 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2011 |
NPI Last Update Date: | 12/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | PH25674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |