# ST MARIA PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Maria Pharmacy, Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033560917
- **Authorized official:** FEBY A GEWARGY (OWNER)
- **Authorized official phone:** (347) 681-5054

## Contact information

- **Practice address:** 1093 AVE C, BAYONNE, NJ 07002
- **Practice address phone:** (201) 935-0440
- **Practice address fax:** (201) 353-0420
- **Mailing address:** 1093 AVE C, BAYONNE, NJ 07002
- **Mailing address phone:** (201) 935-0440
- **Mailing address fax:** (201) 353-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00750600 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/22/2016
- **Last updated:** 10/20/2020
