OrganizationSt.Mary Pharmacy IiPharmacySuppliersPractice Address30606 Us Highway 19 N, Palm Harbor, FL 34684-4414(727) 773-9000PECOS EnrollmentBased on the most recent information from CMS, provider St.Mary Pharmacy Ii does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1881990265Provider TypeOrganizationFull NameSt.Mary Pharmacy IiSubpartNoEnumeration Date2/2/2011Last Updated3/24/2016Contact InformationPractice LocationPractice Address30606 Us Highway 19 N, Palm Harbor, FL 34684-4414Phone(727) 773-9000Fax(727) 773-9001Mailing LocationMailing Address30606 Us Highway 19 N, Palm Harbor, FL 34684-4414Phone(727) 773-9000Fax(727) 773-9001Authorized OfficialNameShaker, Marko (Pharmacist)Phone(727) 773-9000Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH25222FloridaProvider IdentifiersIDDescriptionIssuerID5703853DescriptionOtherIssuerNCPDP PROVIDER IDENTIFICATION NUMBER