Organization
ST MARYS PHARMACIES INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE AWAD (OWNER)
(619) 997-4702
Entity
Organization
Contact information
Practice address
610 GATEWAY CENTER WAY, STE A, SAN DIEGO, CA 92102-4533
(619) 238-9501
(619) 398-2929
Mailing address
610 GATEWAY CENTER WAY, STE A, SAN DIEGO, CA 92102-4533
(619) 238-9501
(619) 398-2929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
46330
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997430
PK
—
05
—
PHA456440
—
CA
Enumeration date
08/04/2006
Last updated
09/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us