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Organization

DRM ENTERPRISES INC

Active
Other names
MARTIN DRUG
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIENNE SWANICK (OPERATIONS MANAGER)
(863) 683-2807
Entity
Organization

Contact information

Practice address
437 S CENTRAL AVE, LAKELAND, FL 33815-4332
(863) 683-2807
(863) 680-2240
Mailing address
PO BOX 2969, LAKELAND, FL 33806-2969
(863) 683-2807
(863) 680-2240

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PH0016061
FL
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1004922
NCPDP PROVIDER IDENTIFICATION NUMBER
05
106460600
FL
Enumeration date
08/31/2006
Last updated
08/09/2010
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