Saint-Mark Enterprises 1196 LLC
NPI #1770834111 in Great Bend, Kansas
Provider Information
- NPI Number
- 1770834111
- Entity Type
- Organization
- Organization Name
- Saint-Mark Enterprises 1196 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Nov 7, 2016
Practice Location
- Address
- 1000 ADAMS ST
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-4208
- Phone
- (620) 792-3030
Authorized Official
- Name
- RIK ST GERMAIN
- Title
- OWNER
- Phone
- (206) 650-5514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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