Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. MARY MEDICAL GROUP, LLC
Active OrganizationST. MARY MEDICAL GROUP, LLC is a Long-Term Care Pharmacy organization located in IDYLLWILD, California. NPI 1477760379 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · IDYLLWILD, CA
Registration Details
- NPI Number
- 1477760379
- Provider Type
- Organization
- NPI Issued
- May 17, 2007 (19.227251497449 yrs)
- Last Updated
- Dec 26, 2018
- Licenses
-
PHY48585 (CA)56117 (CA)
Practice Information
- Address
-
54391 VILLAGE CENTER DR # 6IDYLLWILD, CA, 925499997Browse CA providers · Browse ZIP 92549
- Phone
- 9516592135
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
- Additional Specialty
- Long-Term Care Pharmacy
- Additional Specialty
- Long-Term Care Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.