Organization
ST.MARY PHARMACY II
Active
Other names
St.Mary pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MARKO SHAKER (PHARMACIST)
(727) 773-9000
Entity
Organization
Contact information
Practice address
30606 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4414
(727) 773-9000
(727) 773-9001
Mailing address
30606 US HIGHWAY 19 N, PALM HARBOR, FL 34684-4414
(727) 773-9000
(727) 773-9001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5703853
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/02/2011
Last updated
03/24/2016
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