Health Star Pharmacy

LBN: Gdt Llc
Health Star Pharmacy is an health care organization with primary practice located at 19500 Sandridge Way Ste 140 , Leesburg VA 20176-3689. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gdt Llc can be contacted via phone (571) 440-2401, or through Hall, Tiffany via phone (571) 440-2401.

Contact Information

Primary practice address
19500 Sandridge Way Ste 140 Leesburg VA 20176-3689
Phone: (571) 440-2401
Fax: (571) 440-2405
Website:
Map and Directions
Authorized official contact:
Name: Hall, Tiffany
Phone: (571) 440-2401

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1013555143
LBN Legal business name Gdt Llc
DBA Doing business as Health Star Pharmacy
Authorized official Hall, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2019
Last updated Mar 27th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013555143 NPPES
Virginia MEDICAID 1013555143

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