# ST. JOSEPH'S PHARMACY AND MEDICAL SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1457539629
- **Authorized official:** MINIMOL KURIAKOSE (OWNER)
- **Authorized official phone:** (727) 683-1800

## Contact information

- **Practice address:** 4508 MAYFLOWER DR, NEW PORT RICHEY, FL 34652-5145
- **Practice address phone:** (727) 683-1800
- **Mailing address:** 4508 MAYFLOWER DR, NEW PORT RICHEY, FL 34652-5145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2008
- **Last updated:** 02/09/2008