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GREEN STAR PHARMACY NPI 1962011890


NPI Information

NPI: 1962011890
Provider Name: GREEN STAR PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2950 WINKLER AVE STE 701
FORT MYERS, FL
ZIP 33916
Phone: (239) 931-3605
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GREEN STAR PHARMACY is a pharmacy in Fort Myers, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GREEN STAR PHARMACY NPI is 1962011890. The provider is registered as an organization entity type.

The provider's business location address is:

2950 WINKLER AVE STE 701
FORT MYERS, FL
ZIP 33916-322
Phone: (239) 931-3605
Fax: (239) 931-3605

The provider's authorized official is Frusnel Augustin .
The authorized official title is Pharmacy Manager/ Pharmacist and has the following contact phone number (123) 924-0434.

The enumeration date for this NPI number is 7/27/2020 and was last updated on 7/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396015798MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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