Provider Demographics
NPI:1598243933
Name:ST. MARIE INC.
Entity Type:Organization
Organization Name:ST. MARIE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R. PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ASEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:NOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-560-6866
Mailing Address - Street 1:7211 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2632
Mailing Address - Country:US
Mailing Address - Phone:347-560-6866
Mailing Address - Fax:
Practice Address - Street 1:7211 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2632
Practice Address - Country:US
Practice Address - Phone:347-560-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-28
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy