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General NPI Number Information
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NPI Number | 1710233341
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Entity Type | Organization
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Legal Business Name | STARNS PHARMACY LLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 81550 HIGHWAY 21
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City | BUSH
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State | LA
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Zip | 70431
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Country | US
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Telephone | 985-886-9300
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Fax | 985-886-9111
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Provider Business Mailing Address
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Address Line | 81550 HIGHWAY 21
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City | BUSH
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State | LA
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Zip | 70431-4434
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Country | US
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Telephone | 985-886-9300
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Fax | 985-886-9111
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Authorized Official
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Title or Position | OWNER
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Name | MR. KARL LINDELL STARNS III
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Credential | BS
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Telephone | 985-886-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 006581
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License Number State | LA
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