Healthcare Provider Details
I. General information
NPI: 1770413528
Provider Name (Legal Business Name): STAR PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 ANDERSON AVE STE 7
FORT LEE NJ
07024-4470
US
IV. Provider business mailing address
971 US HIGHWAY 202 N
BRANCHBURG NJ
08876-3757
US
V. Phone/Fax
- Phone: 914-708-6574
- Fax:
- Phone: 914-708-6574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
OKYERE
Title or Position: CEO
Credential:
Phone: 914-708-6574