# MARTELLA'S PHARMACY, LLC

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

## Provider details

- **NPI number:** 1366025231
- **Authorized official:** JACQUELINE M. MARTELLA R.PH (OWNER)
- **Authorized official phone:** (814) 629-1397

## Contact information

- **Practice address:** 1079 FRANKLIN ST, JOHNSTOWN, PA 15905-4399
- **Practice address phone:** (814) 535-1833
- **Practice address fax:** (814) 539-2234
- **Mailing address:** 1079 FRANKLIN ST, JOHNSTOWN, PA 15905-4399
- **Mailing address phone:** (814) 535-1833
- **Mailing address fax:** (814) 539-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 04/29/2021