Organization · Type 2 NPI

St. Mary Health Ventures, Inc.

Community/Retail Pharmacy · Long Beach, CA

NPI number 1710002860 Active

Practice location

1043 Elm Ave, Suite 305
Long Beach, CA 90813-3271

Fax (562) 495-9651

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	50612 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

16 other providers at this address

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NPI record

NPI: 1710002860
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Sep 23, 2013
Status: Active
Subpart: Yes of St. Mary Health Ventures, Inc.

Other names

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Medical Mall Pharmacy · doing business as

Authorized official

Harold Way
Chief Financial Officer
(562) 491-9929

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710002860

St. Mary Health Ventures, Inc.'s National Provider Identifier is 1710002860, issued on Mar 20, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Long Beach, CA. The record was last updated on Sep 23, 2013.