Healthcare Provider Details

I. General information

NPI: 1467258657
Provider Name (Legal Business Name): START CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 N FLORIDA ST STE 139
COVINGTON LA
70433-1544
US

IV. Provider business mailing address

1620 W NORTHWEST HWY STE 100
GRAPEVINE TX
76051-3219
US

V. Phone/Fax

Practice location:
  • Phone: 985-276-9919
  • Fax: 985-267-0127
Mailing address:
  • Phone: 817-913-7247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CATHERINE FELARISE
Title or Position: VP OF COMPLIANCE
Credential:
Phone: 985-333-2020