Organization
CARLOS G MARTINEZ
Active
Organization
CARLOS G MARTINEZ
Active
Other names
Warnack Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS G MARTINEZ DBA (OWNER)
(559) 784-0654
Entity
Organization
Contact information
Practice address
434 S PLANO ST, PORTERVILLE, CA 93257-5416
(559) 784-0654
(559) 784-4712
Mailing address
434 S PLANO ST, PORTERVILLE, CA 93257-5416
(559) 784-0654
(559) 784-4712
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA367050
—
CA
Enumeration date
02/20/2007
Last updated
06/29/2012
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