NPI | 1417235953 |
---|---|
Doing Business As | ST MARY PHARMACY |
Entity Type | Organization |
Authorized Contact | CATHERINE RUSSO Pharmacist 985-384-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 6396-IR) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2011-08-02 |
Last Update Date | 2017-02-14 |