Star Formula INC

NPI #1538511910 in Addison, Texas

Provider Information

NPI Number: 1538511910
Entity Type: Organization
Organization Name: Star Formula INC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jul 8, 2016
Last Updated: Jan 20, 2021

Practice Location

Address: 4386 SUNBELT DR
City: Addison
State: Texas
ZIP Code: 75001-5611
Phone: (972) 380-2065

Authorized Official

Name: JENNIFER J MITCHELL
Title: OWNER
Phone: (972) 380-2065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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