Organization · Type 2 NPI

ST James Long Term Care Pharmacy

Long Term Care Pharmacy · Phoenix, AZ

NPI number 1770988362 Active

Practice location

20616 N Cave Creek Rd Ste 111
Phoenix, AZ 85024-4451

Fax (480) 494-8558

Specialties and licenses

Taxonomy	Code	License
Pharmacist	183500000X	S013212 (AZ)
Pharmacy Technician	183700000X	T042375 (AZ)
Long Term Care Pharmacy Primary	3336L0003X	Y006254 (AZ)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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NPI record

NPI: 1770988362
Entity type: Organization (Type 2)
Issued: Oct 26, 2014
Last updated: Nov 20, 2019
Status: Active

Other names

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ST James LTC Pharmacy LLC · doing business as
ST James LTC Pharmacy LLC · doing business as

Authorized official

Dr. Brian Lim Marasigan, MD
Manager, Chief Operating Officer
(480) 662-3865

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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 1770988362

ST James Long Term Care Pharmacy's National Provider Identifier is 1770988362, issued on Oct 26, 2014. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 20, 2019.