Organization
ST JAMES LONG TERM CARE PHARMACY
Active
Other names
St James LTC Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LIM MARASIGAN MD (MANAGER, CHIEF OPERATING OFFICER)
(480) 662-3865
Entity
Organization
Contact information
Practice address
20616 N CAVE CREEK RD STE 111, PHOENIX, AZ 85024-4451
(480) 662-3865
(480) 494-8558
Mailing address
20616 N CAVE CREEK RD STE 111, PHOENIX, AZ 85024-4451
(480) 662-3865
(602) 354-4336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
S013212
AZ
183700000X
Pharmacy Technician
T042375
AZ
3336L0003X
Long Term Care Pharmacy
Primary
Y006254
AZ
Other
Enumeration date
10/26/2014
Last updated
11/20/2019
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