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General NPI Number Information
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NPI Number | 1689512600
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Entity Type | Organization
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Legal Business Name | STARBASE RX
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 39096 LBJ BLVD
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City | STARBASE
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State | TX
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Zip | 78521-8932
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Country | US
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Telephone | 956-253-3001
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Fax | 956-720-0964
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Provider Business Mailing Address
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Address Line | 39096 LBJ BLVD
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City | STARBASE
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State | TX
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Zip | 78521-8932
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Country | US
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Telephone | 956-253-3001
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Fax | 956-720-0964
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MAMTA SHANKAR
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Credential | PHARMD
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Telephone | 956-253-3001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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