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NPI Code Detail

MEDICARE: STAR PHARMACY INC

MEDICARE: STAR PHARMACY INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12100494OTHERPK

General Provider Information

NPI Number : 1962684241
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAR PHARMACY INC
Provider Business Mailing Address
First Line : 3427 TRINITY MILLS RD STE 800B
Second Line :
City : DALLAS
State : TX
Zip : 75287-6258
Country : US
Telephone Number : 469-915-4411
Fax Number : 469-915-4416
Provider Business Practice Location Address
First Line : 3427 TRINITY MILLS ROAD
Second Line : SUITE 800B
City : DALLAS
State : TX
Zip : 75287
Country : US
Telephone Number : 469-915-4411
Fax Number : 469-915-4416
Authorized Official
Title or Position : OWNER
Name : CHHAYAL DOBARIYA
Credential :
Telephone Number : 469-915-4411
Provider Enumeration Date : 11/29/2007
Last Update Date : 12/06/2025

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Directions to “STAR PHARMACY INC ” Practice Location

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