Organization
ST MARYS PHARMACY LLC
Active
Organization
ST MARYS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADHA K AKULA (OWNER)
(301) 475-2025
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 BLDG 2, LEONARDTOWN, MD 20650-3895
(301) 475-2025
(301) 475-2026
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05680
MD
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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