Organization
STM DRUG CORP
Active
Other names
St. Michael's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN GENAO (PRESIDENT)
(917) 609-8155
Entity
Organization
Contact information
Practice address
3705 83RD ST, JACKSON HEIGHTS, NY 11372-7141
(718) 803-3330
(718) 803-3320
Mailing address
3705 83RD ST, JACKSON HEIGHTS, NY 11372-7141
(718) 803-3330
(718) 803-3320
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163963
PK
—
Enumeration date
09/01/2016
Last updated
09/07/2016
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