Organization
JIMMY MARTIN PHARMACY INC
Active
Organization
JIMMY MARTIN PHARMACY INC
Active
Other names
JONES MCCALL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY MARTIN (OWNER AND PHARMACIST)
(432) 523-2323
Entity
Organization
Contact information
Practice address
201 NW 1ST ST, ANDREWS, TX 79714-6303
(432) 523-2323
(432) 524-6148
Mailing address
201 NW 1ST ST, ANDREWS, TX 79714-6303
(432) 523-2323
(432) 524-6148
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141183
—
TX
01
—
4512693
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
01/20/2010
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