National Provider Identifier Database

ST MARYS PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

ST. MARY'S PHARMACY
5626 PATRIOT DR
WISE, VA24293-1138
Phone: 276-328-8850
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for ST. MARY'S PHARMACY

NPI Number 1255102166
Legal business name
LBN
ST. MARY'S PHARMACY
Authorized official JENNIFER HAMMONS - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart Yes
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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