Provider Demographics
NPI:1639042567
Name:STAR DISCOUNT PHARMACY INC
Entity type:Organization
Organization Name:STAR DISCOUNT PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARDEN
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:HERITAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:256-534-1118
Mailing Address - Street 1:6124 HIGHWAY 72 E
Mailing Address - Street 2:
Mailing Address - City:GURLEY
Mailing Address - State:AL
Mailing Address - Zip Code:35748-9414
Mailing Address - Country:US
Mailing Address - Phone:256-776-7360
Mailing Address - Fax:256-763-7268
Practice Address - Street 1:6124 HIGHWAY 72 E
Practice Address - Street 2:
Practice Address - City:GURLEY
Practice Address - State:AL
Practice Address - Zip Code:35748-9414
Practice Address - Country:US
Practice Address - Phone:256-776-7360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAR DISCOUNT PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty