Organization
MARTINEZ DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINA TABIBI (PRESIDENT)
(305) 693-0441
Entity
Organization
Contact information
Practice address
874 E 41 STREET, HIALEAH, FL 33013
(305) 693-0441
(305) 693-0680
Mailing address
874 E 41 STREET, HIALEAH, FL 33013
(305) 693-0441
(305) 693-0680
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS16294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10286201
—
FL
Enumeration date
10/03/2006
Last updated
08/22/2020
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