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Organization

LUIS & TERESA MARTINEZ, INC.

Active
Other names
MedCenter Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUIS MARTINEZ JR. R. PH. (PRESIDENT)
(956) 791-1991
Entity
Organization

Contact information

Practice address
1419 E BUSTAMANTE ST, LAREDO, TX 78041-5303
(956) 791-1991
(956) 791-6279
Mailing address
1419 E BUSTAMANTE ST, LAREDO, TX 78041-5303
(956) 791-1991
(956) 791-6279

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
23883
TX
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014351301
TX
05
014351302
TX
05
145491
TX
01
23883
PHARMACY LICENSE
TX
01
30109
PHARMACIST LICENSE
TX
01
4598299
NABP
TX
01
P0139036
DPS NO.
TX
Enumeration date
08/10/2005
Last updated
03/07/2023
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