# MARTINEZ APOTHECARY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255471173
- **Authorized official:** NEIL W GRICE (PRESIDENT)
- **Authorized official phone:** (706) 210-6654

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008753 | GA | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 03/17/2009