<Unavail>

LBN: St Mary Corp Inc
<Unavail> is an health care organization with primary practice located at 79440 Highway 111 Ste 103 , La Quinta CA 92253-4500. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. St Mary Corp Inc can be contacted via phone (760) 777-1115, or through Khalil, Doris via phone (818) 357-0480.

Contact Information

Primary practice address
79440 Highway 111 Ste 103 La Quinta CA 92253-4500
Phone: (760) 777-1115
Fax: (760) 777-1116
Website:
Map and Directions
Authorized official contact:
Name: Khalil, Doris
Phone: (818) 357-0480

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY54161 California
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1699133041
LBN Legal business name St Mary Corp Inc
DBA Doing business as <Unavail>
Authorized official Khalil, Doris
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2016
Last updated Apr 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699133041 NPPES
Other 2157916 PK

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