# MARTINEZ APOTHECARY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neil's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154614220
- **Authorized official:** NEIL GRICE (PHARMACIST OWNER)
- **Authorized official phone:** (706) 210-6654

## Contact information

- **Practice address:** 3830 WASHINGTON RD STE 11A, MARTINEZ, GA 30907-5075
- **Practice address phone:** (706) 210-6654
- **Practice address fax:** (706) 210-8017
- **Mailing address:** 3830 WASHINGTON RD, STE 11A, MARTINEZ, GA 30907-5064
- **Mailing address phone:** (706) 210-6654
- **Mailing address fax:** (706) 210-8017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE008753 | GA | Yes |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 03/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2130393 | PK | — |
| 05 | — | 648923041A | — | GA |
| 05 | — | 7G8753 | — | SC |