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 |