Organization
ST MARYS HOSPITAL OF ST MARYS COUNTY, INC
Active
Other names
MEDSTAR ST MARYS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARY IBEGBU PHARMD (DIRECTOR OF PHARMACY)
(301) 475-6268
Entity
Organization
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-6072
(301) 475-6075
Mailing address
PO BOX 527, LEONARDTOWN, MD 20650-0527
(301) 475-6072
(301) 457-6075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
P00738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000365400
—
MD
01
—
2033193
PK
—
Enumeration date
07/17/2006
Last updated
07/19/2018
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