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Organization

ST MARYS PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRIS AKULA (PHARMACIST/OWNER)
(301) 475-2024
Entity
Organization

Contact information

Practice address
25482 POINT LOOKOUT RD, BUILDING 2 UNIT 203C, LEONARDTOWN, MD 20650-3895
(301) 475-2024
(301) 475-2026
Mailing address
25482 POINT LOOKOUT RD, BUILDING 2 UNIT 203C, LEONARDTOWN, MD 20650-3895
(301) 475-2024
(301) 475-2026

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
P05680M
MD

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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  • Eligibility checks
  • EDI platform