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NPI Code Detail

MEDICARE: MARTIN DRUGS INC

MEDICARE: MARTIN DRUGS 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
1333600000XPharmacy
23336L0003XLong Term Care Pharmacy
33336L0003XLong Term Care PharmacyPP413696LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33949712OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1598788598
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTIN DRUGS INC
Provider Business Mailing Address
First Line : 627 S CHESTER RD
Second Line :
City : SWARTHMORE
State : PA
Zip : 19081-2315
Country : US
Telephone Number : 610-338-0966
Fax Number : 610-338-0961
Provider Business Practice Location Address
First Line : 627 S CHESTER RD
Second Line :
City : SWARTHMORE
State : PA
Zip : 19081-2315
Country : US
Telephone Number : 610-338-0966
Fax Number : 610-338-0961
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROBERT J MCCAFFERTY JR.
Credential :
Telephone Number : 610-541-4444
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/31/2020

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Directions to “MARTIN DRUGS INC ” Practice Location

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