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Organization
ST MARY PHARMACY LLC
Active
Organization
ST MARY PHARMACY LLC
Active
Other names
ST MARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE RUSSO (PHARMACIST)
(985) 384-1234
Entity
Organization
Contact information
Practice address
1124 7TH ST, MORGAN CITY, LA 70380-1951
(985) 384-1234
(985) 384-1233
Mailing address
PO BOX 3230, MORGAN CITY, LA 70381-3230
(985) 384-1234
(985) 384-1233
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
6396-IR
LA
Other
Enumeration date
08/02/2011
Last updated
02/14/2017
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