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Organization
ST. MARYS PHARMACY, INC.
Active
Organization
ST. MARYS PHARMACY, INC.
Active
Other names
SMP Home Medical Kane
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS XAVIER STRAUB III R.PH. (CFO/SEC)
(814) 834-2225
Entity
Organization
Contact information
Practice address
190 N FRALEY ST STE 2, KANE, PA 16735-1165
(814) 837-8500
(814) 690-2114
Mailing address
4 RAILROAD STREET, ST. MARYS, PA 15857-1729
(814) 834-2225
(814) 834-5383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
PP481849
PA
Other
Enumeration date
03/31/2008
Last updated
09/19/2018
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