| NPI | 1770988362 |
|---|---|
| Doing Business As | ST JAMES LTC PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN LIM MARASIGAN Manager, Chief Operating Officer 480-662-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AZ Y006254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S013212) |
| 183700000X Pharmacy Technician (Licence: AZ T042375) | |
| Enumeration Date | 2014-10-26 |
| Last Update Date | 2019-11-20 |