Provider Demographics
NPI:1093370538
Name:AMERICAN STAR PHARMACY INC
Entity Type:Organization
Organization Name:AMERICAN STAR PHARMACY INC
Other - Org Name:ABOUNDING PROSPERITY COMMUNITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJESWARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-604-2356
Mailing Address - Street 1:1619 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75215
Mailing Address - Country:US
Mailing Address - Phone:469-718-7777
Mailing Address - Fax:469-718-7882
Practice Address - Street 1:1619 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75215
Practice Address - Country:US
Practice Address - Phone:469-718-7777
Practice Address - Fax:469-718-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy