NPI | 1700660263 |
---|---|
Doing Business As | STAR LTC PHARMACY SD |
Entity Type | Organization |
Authorized Contact | YEFIM ISKHAKOV President/CEO 858-878-4150 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2023-08-24 |
Last Update Date | 2025-02-03 |