Organization
PAT MARTIN RPH INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MURPHY MARTIN (OWNER)
(337) 394-6058
Entity
Organization
Contact information
Practice address
1117 N MAIN ST, STE A, SAINT MARTINVILLE, LA 70582-3513
(337) 394-6058
(337) 394-3387
Mailing address
1117 N MAIN ST, STE A, SAINT MARTINVILLE, LA 70582-3513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1706IR
LA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1253766
—
LA
01
—
1919147
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
03/07/2023
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