Healthcare Provider Details

I. General information

NPI: 1265410088
Provider Name (Legal Business Name): STAR DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12078 HIGHWAY 231 431 NORTH
MERIDIANVILLE AL
35759-1225
US

IV. Provider business mailing address

12078 HIGHWAY 231 431 NORTH
MERIDIANVILLE AL
35759-1225
US

V. Phone/Fax

Practice location:
  • Phone: 256-829-0209
  • Fax: 256-829-0992
Mailing address:
  • Phone: 256-829-0209
  • Fax: 256-829-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number112104
License Number StateAL

VIII. Authorized Official

Name: TRENT MCLEMORE
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 256-566-7980