DAYSTAR PHARMACY INC
Medical Equipment Supplier Yellow Pages
Manvel, Texas
Provider NPI: 1861556458
Organization Information:Organization Name: DAYSTAR PHARMACY INC
Practice Location:
3926 BAHLER AVE MANVEL, TX 77578 US
Tel: 281-489-9409 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3926 BAHLER AVE MANVEL, TX 77578 US
Tel: 281-489-9409 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | TX | 14613 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
350012 | TX | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 4584226 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin