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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