Provider Demographics
NPI:1184947160
Name:STARNS, KARL LINDELL III (BS)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:LINDELL
Last Name:STARNS
Suffix:III
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10390 SNAKE JENKINS RD.
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LOUISIANA
Mailing Address - Zip Code:70427
Mailing Address - Country:UM
Mailing Address - Phone:985-294-1225
Mailing Address - Fax:985-886-9111
Practice Address - Street 1:81550 HIGHWAY 21
Practice Address - Street 2:STARNS PHARMACY
Practice Address - City:BUSH
Practice Address - State:LA
Practice Address - Zip Code:70431-4434
Practice Address - Country:US
Practice Address - Phone:985-886-9300
Practice Address - Fax:985-886-9111
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI149183500000X
LA11259183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist