STAR FORMULA INC NPI 1669949046

NPI Information

NPI: 1669949046
Provider Name: STAR FORMULA INC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
428 E JEFFERSON BLVD STE 123
DALLAS, TX
ZIP 75203
Phone: (214) 942-2862
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STAR FORMULA INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Dallas, TX. STAR FORMULA INC NPI is 1669949046. The provider is registered as an organization entity type.

The provider's business location address is:

428 E JEFFERSON BLVD STE 123
DALLAS, TX
ZIP 75203-613
Phone: (214) 942-2862
Fax: (915) 942-2920

The provider's authorized official is Greg L Jackson .
The authorized official title is Owner and has the following contact phone number (800) 368-2065.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 10/24/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			Yes

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

NPI Synchronization or Removal

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