Provider Demographics
NPI:1821662388
Name:STARNS, KARL LINDELL IV (PHARMD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:LINDELL
Last Name:STARNS
Suffix:IV
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W NEW RIVER ST
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-2502
Mailing Address - Country:US
Mailing Address - Phone:985-294-1193
Mailing Address - Fax:
Practice Address - Street 1:12502 HIGHWAY 431
Practice Address - Street 2:
Practice Address - City:SAINT AMANT
Practice Address - State:LA
Practice Address - Zip Code:70774-3418
Practice Address - Country:US
Practice Address - Phone:225-644-7288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.023631183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist