St. Mary Pharmacy

LBN: St Mary Pharmacy Llc
St. Mary Pharmacy is an health care organization with primary practice located at 1290 W Bay Dr , Largo FL 33770-2204. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Mary Pharmacy Llc can be contacted via phone (727) 585-1333, or through Shaker, John via phone (727) 637-8174.

Contact Information

Primary practice address
1290 W Bay Dr Largo FL 33770-2204
Fax: (727) 585-1344
Website:
Authorized official contact:
Name: Shaker, John

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH23976 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1740423573
LBN Legal business name St Mary Pharmacy Llc
DBA Doing business as St. Mary Pharmacy
Authorized official Shaker, John
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2009
Last updated Feb 16th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740423573 NPPES
Other 2119775 PK
MEDICAID 001226300 PK

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