Provider Demographics
NPI:1497865646
Name:STARS OF SANTA YNEZ, INC
Entity Type:Organization
Organization Name:STARS OF SANTA YNEZ, INC
Other - Org Name:STAR DRUG CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:REDEN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:805-688-6898
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:3576 MADERA ST
Mailing Address - City:SANTA YNEZ
Mailing Address - State:CA
Mailing Address - Zip Code:93460-0428
Mailing Address - Country:US
Mailing Address - Phone:805-688-6898
Mailing Address - Fax:805-688-6047
Practice Address - Street 1:3576 MADERA ST
Practice Address - Street 2:
Practice Address - City:SANTA YNEZ
Practice Address - State:CA
Practice Address - Zip Code:93460-9367
Practice Address - Country:US
Practice Address - Phone:805-688-6898
Practice Address - Fax:805-688-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY45308183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty