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General NPI Number Information
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NPI Number | 1619038783
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Entity Type | Organization
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Legal Business Name | MARTINEZ PHARMACY LC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1407 JACAMAN RD
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City | LAREDO
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State | TX
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Zip | 78041-6194
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Country | US
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Telephone | 956-722-7600
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Fax | 956-722-7619
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Provider Business Mailing Address
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Address Line | 1407 JACAMAN RD
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City | LAREDO
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State | TX
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Zip | 78041-6194
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Country | US
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Telephone | 956-722-7600
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Fax | 956-722-7619
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Authorized Official
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Title or Position | OWNER AND PIC
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Name | TONY MARTINEZ
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Credential | RPH
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Telephone | 956-722-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 22520
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License Number State | TX
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