Prostar Pharmacy Consultants LLC

NPI #1760564561 in Coburg, Oregon

Provider Information

NPI Number: 1760564561
Entity Type: Organization
Organization Name: Prostar Pharmacy Consultants LLC
Primary Specialty: Pharmacy - Managed Care Organization Pharmacy
Enumeration Date: Oct 20, 2006
Last Updated: Jul 30, 2008

Practice Location

Address: 91320 COBURG INDUSTRIAL WAY
Address 2: BLDG 19
City: Coburg
State: Oregon
ZIP Code: 97408
Phone: (541) 681-8117

Authorized Official

Name: MRS. VICTORIA L STARR
Title: PHARMACIST
Phone: (541) 681-8117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Managed Care Organization Pharmacy — Managed Care Organization Pharmacy	3336M0003X	Primary

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