Organization
MARTINS DRUG STORE INC
Active
Other names
MARTINS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
SAM BURRUS (PHARMACIST)
(828) 648-2321
Entity
Organization
Contact information
Practice address
24 PARK ST, CANTON, NC 28716-4428
(828) 648-2321
(828) 648-2322
Mailing address
24 PARK ST, CANTON, NC 28716-4428
(828) 648-2321
(828) 648-2322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445064
—
NC
01
—
3404364
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/29/2007
Last updated
01/11/2011
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