Organization
MARTINEZ APOTHECARY INC
Active
Other names
Neil's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL GRICE (PHARMACIST OWNER)
(706) 210-6654
Entity
Organization
Contact information
Practice address
3830 WASHINGTON RD STE 11A, MARTINEZ, GA 30907-5075
(706) 210-6654
(706) 210-8017
Mailing address
3830 WASHINGTON RD, STE 11A, MARTINEZ, GA 30907-5064
(706) 210-6654
(706) 210-8017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHRE008753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130393
PK
—
05
—
648923041A
—
GA
05
—
7G8753
—
SC
Enumeration date
05/24/2011
Last updated
03/10/2014
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