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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