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Contact Information

BRIGHTSTAR HEALTH CORP
5515 WALDOS BEACH RD
FAYETTEVILLE, NC28306-5505
 Phone: 910-491-1090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BRIGHTSTAR HEALTH CORP

NPI Number 1114483559
LBN Legal business name BRIGHTSTAR HEALTH CORP
Authorized official DEREK BOATENG - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2019
Last updated 02/11/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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