NPI | 1467094995 |
---|---|
Doing Business As | ST MARY PHARMACY |
Entity Type | Organization |
Authorized Contact | BESHOY ISAAC GERGES President/CEO/CFO/Secretary Director 818-960-4521 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-10-16 |
Last Update Date | 2022-03-14 |