# ST. MARYS PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMP Home Medical Kane
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619149622
- **Authorized official:** MR. FRANCIS XAVIER STRAUB III R.PH. (CFO/SEC)
- **Authorized official phone:** (814) 834-2225

## Contact information

- **Practice address:** 190 N FRALEY ST STE 2, KANE, PA 16735-1165
- **Practice address phone:** (814) 837-8500
- **Practice address fax:** (814) 690-2114
- **Mailing address:** 4 RAILROAD STREET, ST. MARYS, PA 15857-1729
- **Mailing address phone:** (814) 834-2225
- **Mailing address fax:** (814) 834-5383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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) | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | PP481849 | PA | — |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 09/19/2018