Organization
MARTIN'S SAN JUAN DRUG, INC
Active
Organization
MARTIN'S SAN JUAN DRUG, INC
Active
Other names
MARTIN DRUG CO, MARTIN DRUG CO.
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER GARZA RPH (OWNER)
(956) 787-1861
Entity
Organization
Contact information
Practice address
601 S NEBRASKA AVE, SAN JUAN, TX 78589-2647
(956) 787-1861
(956) 787-2093
Mailing address
601 S NEBRASKA AVE, SAN JUAN, TX 78589-2647
(956) 787-1861
(956) 787-2093
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130344
—
TX
01
—
2099556
PK
—
Enumeration date
08/18/2006
Last updated
10/26/2020
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