OrganizationSt Andrew Pharmacy LlcPharmacySuppliersPractice Address2818a John F Kennedy Blvd, Jersey City, NJ 07306-3942(201) 356-9132PECOS EnrollmentBased on the most recent information from CMS, provider St Andrew Pharmacy Llc 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 2 days ago.Profile DetailsProvider ID1861135204Provider TypeOrganizationFull NameSt Andrew Pharmacy LlcSubpartNoEnumeration Date4/14/2022Last Updated4/14/2022Contact InformationPractice LocationPractice Address2818a John F Kennedy Blvd, Jersey City, NJ 07306-3942Phone(201) 356-9132FaxUnlisted FaxMailing LocationMailing Address2818a John F Kennedy Blvd, Jersey City, NJ 07306-3942Phone(201) 356-9132FaxUnlisted FaxAuthorized OfficialNameGolas, Alexander (Pic)Phone(201) 356-9132Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted Issuer