Provider Demographics
NPI:1962684241
Name:STAR PHARMACY INC
Entity Type:Organization
Organization Name:STAR PHARMACY INC
Other - Org Name:STAR PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIPULBHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKHIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-336-2878
Mailing Address - Street 1:3427 TRINITY MILLS ROAD
Mailing Address - Street 2:SUITE 800B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287
Mailing Address - Country:US
Mailing Address - Phone:469-915-4411
Mailing Address - Fax:469-915-4416
Practice Address - Street 1:3427 TRINITY MILLS ROAD
Practice Address - Street 2:SUITE 800B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287
Practice Address - Country:US
Practice Address - Phone:469-915-4411
Practice Address - Fax:469-915-4416
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:START PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-29
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2100494OtherPK