Organization
MARTINS PHARMACY INC
Active
Other names
MARTINS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HAMPTON HALE (PRESIDENT)
(540) 980-4060
Entity
Organization
Contact information
Practice address
400 N WASHINGTON AVE, PULASKI, VA 24301-4630
(540) 980-4060
(540) 980-3784
Mailing address
PO BOX 699, PULASKI, VA 24301-0699
(540) 980-4060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201000443
VA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255477873
—
VA
01
—
2102331
PK
—
Enumeration date
01/30/2007
Last updated
03/01/2022
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