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General NPI Number Information
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NPI Number | 1093370538
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Entity Type | Organization
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Legal Business Name | AMERICAN STAR PHARMACY INC
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 1619 MARTIN LUTHER KING JR BLVD SUITE B
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City | DALLAS
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State | TX
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Zip | 75215
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Country | US
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Telephone | 469-718-7777
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Fax | 469-718-7882
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Provider Business Mailing Address
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Address Line | 1619 MARTIN LUTHER KING JR BLVD SUITE B
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City | DALLAS
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State | TX
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Zip | 75215
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Country | US
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Telephone | 469-718-7777
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Fax | 469-718-7882
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJESWARI KUMAR
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Credential |
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Telephone | 586-604-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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