MEDICARE: ST MARY PHARMACEUTICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1073025607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST MARY PHARMACEUTICAL CORP

Provider Business Mailing Address
First Line	:	15333 SHERMAN WAY STE C
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-4204
Country	:	US
Telephone Number	:	818-453-8380
Fax Number	:	818-453-8362

Provider Business Practice Location Address
First Line	:	15333 SHERMAN WAY STE C
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-4204
Country	:	US
Telephone Number	:	818-453-8380
Fax Number	:	818-453-8362

Authorized Official
Title or Position	:	PRESIDENT/CEO/OWNER
Name	:	MR. ARNOLD NIKOGOSYAN
Credential	:	RPH
Telephone Number	:	818-453-8380

Provider Enumeration Date	:	11/05/2017
Last Update Date	:	05/21/2019

Similar Medicare Providers

1386269306 — UNIVERSAL MOBILE DOCTORS INC
Practice Location Address:

15333 SHERMAN WAY STE P
VAN NUYS, CA
91406-4204

Practice Phone: 323-821-7772
Practice Fax:

1720815749 — GOHAR HOVSEPYAN D.D.S., INC.
Practice Location Address:

15333 SHERMAN WAY STE M
VAN NUYS, CA
91406-4204

Practice Phone: 818-909-0200
Practice Fax:

1659070613 — NEUROLUTIONS INC
Practice Location Address:

7033 HAYVENHURST AVE
VAN NUYS, CA
91406-3802

Practice Phone: 831-295-6139
Practice Fax:

1356162341 — UPLIFT SOBRIETY CENTER LLC
Practice Location Address:

7139 WOODLEY AVE
VAN NUYS, CA
91406-3932

Practice Phone: 909-461-0960
Practice Fax:

1821921461 — RISEUP ABA
Practice Location Address:

1700 HAYVENHURST AVE , 204
VAN NUYS, CA
91406-0000

Practice Phone: 818-282-4277
Practice Fax:

1225961675 — ORYX RECOVERY LLC
Practice Location Address:

7750 LOUISE AVE
VAN NUYS, CA
91406-2117

Practice Phone: 747-224-8884
Practice Fax:

Directions to “ST MARY PHARMACEUTICAL CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.