ST. MARY'S PHARMACY NPI 1255102166

NPI Information

NPI: 1255102166
Provider Name: ST. MARY'S PHARMACY
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
5626 PATRIOT DR
WISE, VA
ZIP 24293
Phone: (276) 328-8850
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ST. MARY'S PHARMACY is a clinic pharmacy pharmacy in Wise, VA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. ST. MARY'S PHARMACY NPI is 1255102166. The provider is registered as an organization entity type.

The provider's business location address is:

5626 PATRIOT DR
WISE, VA
ZIP 24293-138
Phone: (276) 328-8850

The provider's authorized official is Jennifer Lynden Hammons .
The authorized official title is Pharmacist In Charge and has the following contact phone number (276) 346-8850.

The enumeration date for this NPI number is 1/10/2024 and was last updated on 1/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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