| NPI | 1770881799 |
|---|---|
| Doing Business As | SOUTHERN STAR PHARMACY 006 |
| Doing Business As | PHARMACY EXPRESS |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL STANLEY VP Of Operations 469-247-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2021-08-05 |