St Mary Corp INC
NPI #1699133041 in La Quinta, California
Provider Information
- NPI Number
- 1699133041
- Entity Type
- Organization
- Organization Name
- St Mary Corp INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 31, 2016
- Last Updated
- Apr 28, 2017
Practice Location
- Address
- 79440 HIGHWAY 111 STE 103
- City
- La Quinta
- State
- California
- ZIP Code
- 92253-4500
- Phone
- (760) 777-1115
Authorized Official
- Name
- DORIS KHALIL
- Title
- OWNER, SECRETARY, AO
- Phone
- (818) 357-0480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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