Organization
LUIS & TERESA MARTINEZ, INC.
Active
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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