Organization
MARTIN'S SUPER MARKETS OF LOGANSPORT LLC
Active
Organization
MARTIN'S SUPER MARKETS OF LOGANSPORT LLC
Active
Other names
Martin's Super Markets of Logansport LLC, Martin's Pharmacy #2318
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
3420 E MARKET ST, LOGANSPORT, IN 46947-2295
(574) 753-2518
Mailing address
1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006072A
IN
Other
Enumeration date
08/10/2007
Last updated
01/04/2024
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