Organization
ST MARY PHARMACY INC
Active
Other names
BAY RIDGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA MEKHAIEL RPH (OWNER)
(718) 921-2525
Entity
Organization
Contact information
Practice address
9720 4TH AVE, BROOKLYN, NY 11209-8101
(718) 921-2525
(718) 921-5432
Mailing address
9720 4TH AVE, BROOKLYN, NY 11209-8101
(718) 921-2525
(718) 921-5432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02363968
—
NY
01
—
2059436
PK
—
Enumeration date
10/26/2005
Last updated
05/10/2024
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