Organization
MARTNICKS PHARMACY & MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT N ONYENWE RPHD (CEO/PRESIDENT)
(954) 530-4698
Entity
Organization
Contact information
Practice address
1107 E HALLANDALE BEACH BLVD STE B, HALLANDALE BEACH, FL 33009-4431
(954) 530-3024
(954) 530-4285
Mailing address
1107 E HALLANDALE BEACH BLVD STE B, HALLANDALE BEACH, FL 33009-4431
(954) 530-3024
(954) 530-4285
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
25452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004851500
—
FL
Enumeration date
10/06/2017
Last updated
12/01/2020
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