Organization
MARTINEZ APOTHECARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL W GRICE (PRESIDENT)
(706) 210-6654
Entity
Organization
Contact information
Practice address
3830 WASHINGTON RD, STE 11 A, MARTINEZ, GA 30907-5064
(706) 210-6654
(706) 210-8017
Mailing address
3830 WASHINGTON RD, STE 11 A, MARTINEZ, GA 30907-5064
(706) 210-6654
(706) 210-8017
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648923041A
—
GA
05
—
DE2387
—
SC
Enumeration date
02/08/2007
Last updated
03/17/2009
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