# SANTA MARIA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396813192
- **Authorized official:** DR. MINA AZER PHARMD (PRESIDENT & PHARMACIST IN CHARGE)
- **Authorized official phone:** (732) 251-3971

## Contact information

- **Practice address:** 432 HALL AVE, PERTH AMBOY, NJ 08861-2515
- **Practice address phone:** (732) 442-0163
- **Practice address fax:** (732) 442-4256
- **Mailing address:** 432 HALL AVE, PERTH AMBOY, NJ 08861-2515
- **Mailing address phone:** (732) 442-0163
- **Mailing address fax:** (732) 442-4256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00677200 | NJ | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 07/22/2009