Organization
MARTY'S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN NIEDELMAN RPH (OWNER SUPERVISING PHARMACIST)
(718) 251-1313
Entity
Organization
Contact information
Practice address
9422 AVENUE L, BROOKLYN, NY 11236-4809
(718) 251-1313
Mailing address
9422 AVENUE L, BROOKLYN, NY 11236-4809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
014605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00266899
—
NY
Enumeration date
10/23/2006
Last updated
06/16/2008
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