St Marie Clinic PA Pharmacy

NPI #1396993986 in Mission, Texas

Provider Information

NPI Number
1396993986
Entity Type
Organization
Organization Name
St Marie Clinic PA Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 8, 2008
Last Updated
Feb 11, 2009

Practice Location

Address
10900 N 103RD ST
State
Texas
ZIP Code
78573-0979
Phone
(956) 432-0194

Authorized Official

Name
EDUARDO CARRILLO
Title
PRESIDENT
Phone
(956) 585-7401

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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