| NPI | 1902150394 |
|---|---|
| Doing Business As | 5 STAR PHARMACY & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | FERNANDO RODRIGUEZ President 267-997-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482329) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2017-04-19 |