Saint-Mark Enterprises 106 LLC
NPI #1417197567 in Shelton, Washington
Provider Information
- NPI Number
- 1417197567
- Entity Type
- Organization
- Organization Name
- Saint-Mark Enterprises 106 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 3, 2009
- Last Updated
- Jun 30, 2009
Practice Location
- Address
- 207 PROFESSIONAL WAY
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-4404
- Phone
- (360) 426-4272
Authorized Official
- Name
- MARK A MILLER
- Title
- OWNER
- Phone
- (314) 518-2427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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