Provider Demographics
NPI:1467258657
Name:START CORPORATION
Entity type:Organization
Organization Name:START CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELARISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-333-2020
Mailing Address - Street 1:1620 W NORTHWEST HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3219
Mailing Address - Country:US
Mailing Address - Phone:817-913-7247
Mailing Address - Fax:
Practice Address - Street 1:1505 N FLORIDA ST STE 139
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-1544
Practice Address - Country:US
Practice Address - Phone:985-276-9919
Practice Address - Fax:985-267-0127
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:START CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-20
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy