Organization
ST MARY PHARMACY LLC
Active
Other names
ST. MARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SHAKER (PHARMACIST (PARTNER))
(727) 637-8174
Entity
Organization
Contact information
Practice address
1290 W BAY DR, LARGO, FL 33770-2204
(727) 585-1333
(727) 585-1344
Mailing address
1290 W BAY DR, LARGO, FL 33770-2204
(727) 585-1333
(727) 585-1344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23976
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001226300
—
FL
01
—
2119775
PK
—
Enumeration date
04/09/2009
Last updated
02/16/2017
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