| NPI | 1124599139 |
|---|---|
| Doing Business As | STAR LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | YEFIM ISKHAKOV President/CEO/CFO/ Secretary 916-992-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2021-12-17 |