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Contact Information

ST. MARY'S PHARMACY
5626 PATRIOT DR
WISE, VA24293-1138
 Phone: 276-328-8850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. MARY'S PHARMACY

NPI Number 1255102166
LBN Legal business name ST. MARY'S PHARMACY
Authorized official JENNIFER HAMMONS - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/10/2024
Last updated 01/10/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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