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Contact Information

ST MARY PHARMACY LLC
1124 7TH ST
MORGAN CITY, LA70380-1951
 Phone: 985-384-1234
 Fax: 985-384-1233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST MARY PHARMACY LLC

NPI Number 1417235953
LBN Legal business name ST MARY PHARMACY LLC
Authorized official CATHERINE RUSSO - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2011
Last updated 02/14/2017 - About 9 years ago
Identifiers
LA License # 6396-IR
LA Medicaid 2200887
Other 2131119 PK
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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