MEDICARE: J&J MARTIN INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1225573298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&J MARTIN INC

Provider Business Mailing Address
First Line	:	1701 S 2ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-1907
Country	:	US
Telephone Number	:	215-389-4148
Fax Number	:	215-389-0296

Provider Business Practice Location Address
First Line	:	1701 S 2ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-1907
Country	:	US
Telephone Number	:	215-389-4148
Fax Number	:	215-389-0296

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WASAY HUSSAIN
Credential	:
Telephone Number	:	215-389-4148

Provider Enumeration Date	:	12/30/2016
Last Update Date	:	01/24/2025

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Directions to “J&J MARTIN INC ” Practice Location

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