Provider Demographics
NPI:1740053925
Name:STAR DISCOUNT PHARMACY INC
Entity type:Organization
Organization Name:STAR DISCOUNT PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:TRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-566-7980
Mailing Address - Street 1:8020 HIGHWAY 72 W STE G
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9567
Mailing Address - Country:US
Mailing Address - Phone:256-721-0739
Mailing Address - Fax:256-721-0879
Practice Address - Street 1:8020 HIGHWAY 72 W STE G
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9567
Practice Address - Country:US
Practice Address - Phone:256-721-0739
Practice Address - Fax:256-721-0879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy