MEDICARE: MRS. CHRISTIE MARIE STARR PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2009018521	MO

General Provider Information

NPI Number	:	1780026245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIE MARIE STARR PHARMD

Provider Business Mailing Address
First Line	:	6 E SPRINGFIELD RD
Second Line	:
City	:	SULLIVAN
State	:	MO
Zip	:	63080-1310
Country	:	US
Telephone Number	:	573-468-6464
Fax Number	:	573-468-3809

Provider Business Practice Location Address
First Line	:	6 E SPRINGFIELD RD
Second Line	:
City	:	SULLIVAN
State	:	MO
Zip	:	63080-1310
Country	:	US
Telephone Number	:	573-468-6464
Fax Number	:	573-468-3809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2013
Last Update Date	:	07/25/2013

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