| NPI | 1104919216 |
|---|---|
| Doing Business As | ST. MARIE CLINIC, P.A. PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDUARDO CARRILLO CEO/Owner 956-585-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 45-37380) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-08-14 |