Organization
ST MARYS PHARMACY LLC
Active
Organization
ST MARYS PHARMACY LLC
Active
Other names
St Marys Pharmacy llc
Organization subpart
No
Provider details
NPI number
Authorized official
TANUJA KATTA (PHARMACIST INCHARGE)
(301) 768-9117
Entity
Organization
Contact information
Practice address
25482 POINT LOOKOUT RD BLDG 2, LEONARDTOWN, MD 20650-3895
(301) 475-2025
(301) 475-2026
Mailing address
25482 POINT LOOKOUT RD, BUILDING 2 UNIT 203C, LEONARDTOWN, MD 20650-3895
(301) 475-2025
(301) 475-2026
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
05680
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134609
PK
—
Enumeration date
03/10/2012
Last updated
03/15/2017
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