Healthcare Provider Details

I. General information

NPI: 1710233341
Provider Name (Legal Business Name): STARNS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81550 HIGHWAY 21
BUSH LA
70431
US

IV. Provider business mailing address

81550 HIGHWAY 21
BUSH LA
70431-4434
US

V. Phone/Fax

Practice location:
  • Phone: 985-886-9300
  • Fax: 985-886-9111
Mailing address:
  • Phone: 985-886-9300
  • Fax: 985-886-9111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number006581
License Number StateLA

VIII. Authorized Official

Name: MR. KARL LINDELL STARNS III
Title or Position: OWNER
Credential: BS
Phone: 985-886-9300