Stonegate Pharmacy On Broadway
LBN: Marios Pharmacy Inc
Stonegate Pharmacy On Broadway is an health care organization with primary practice located at 2515 Broadway St , San Antonio TX 78215-1037. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Marios Pharmacy Inc can be contacted via phone (210) 354-0101, or through Ruiz, Jessica via phone (210) 913-2244.
Contact Information
Primary practice address
2515 Broadway St
San Antonio TX 78215-1037
Phone: (210) 354-0101
Fax: (210) 354-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 24112 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1376564310 |
|---|---|
| LBN Legal business name | Marios Pharmacy Inc |
| DBA Doing business as | Stonegate Pharmacy On Broadway |
| Authorized official | Ruiz, Jessica Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Sep 6th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376564310 | NPPES |
| Texas | MEDICAID | 145542 | |
| Texas | Other | 2097195 |
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