NPI 1417197567
Saint-Mark Enterprises 106 LLC
Practice location
- Address
- 207 Professional Way, Shelton, WA 98584-4404
- Phone
- (360) 426-4272
- Fax
- (360) 426-6977
- Mailing address
- PO Box 98, Eureka, MO 63025-0098
Authorised official
- Name
- Mark a Miller
- Title
- Owner
- Phone
- (314) 518-2427
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1417197567
- Entity type
- Organization
- NPI issued
- 3 Mar 2009
- Record last updated
- 30 Jun 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.