ST MARYS PHARMACY LLC NPI 1386036606

NPI Information

NPI: 1386036606
Provider Name: ST MARYS PHARMACY LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
25482 POINT LOOKOUT RD
BUILDING 2 UNIT 203C
LEONARDTOWN, MD
ZIP 20650
Phone: (301) 475-2024
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ST MARYS PHARMACY LLC is a health service clinic center in Leonardtown, MD. ST MARYS PHARMACY LLC NPI is 1386036606. The provider is registered as an organization entity type.

The provider's business location address is:

25482 POINT LOOKOUT RD
BUILDING 2 UNIT 203C
LEONARDTOWN, MD
ZIP 20650-895
Phone: (301) 475-2024
Fax: (301) 475-2026

The provider's authorized official is Kris Akula .
The authorized official title is Pharmacist/owner and has the following contact phone number (301) 475-2024.

The enumeration date for this NPI number is 2/24/2015 and was last updated on 2/24/2015.

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	261QH0100X	Clinic/Center	Health Service	P05680M	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6972170001	MEDICARE NSC	MARYLAND

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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