Organization
MARTNICKS PHARMACY & DISCOUNT SERVICES INC.
Active
Other names
Martnicks Pharmacy & Discount SCVS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ONYENWE (PRESIDENT)
(954) 530-4698
Entity
Organization
Contact information
Practice address
1107 E HALLANDALE BEACH BLVD STE A, HALLANDALE BEACH, FL 33009-4431
(954) 530-4698
(954) 530-4922
Mailing address
1107 E HALLANDALE BEACH BLVD STE A, HALLANDALE BEACH, FL 33009-4431
(954) 530-4698
(954) 530-4922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PH25453
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004851500
—
FL
01
—
2130670
PK
—
Enumeration date
06/04/2011
Last updated
12/21/2021
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