MEDICARE: MARTIN'S POINT HEALTH CARE, 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy	0416P	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3005178	OTHER		NCPDP#

General Provider Information

NPI Number	:	1679533582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN'S POINT HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	161 CORPORATE DR
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-6825
Country	:	US
Telephone Number	:	603-436-0562
Fax Number	:	603-427-6155

Provider Business Practice Location Address
First Line	:	161 CORPORATE DR
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-6825
Country	:	US
Telephone Number	:	603-436-0562
Fax Number	:	603-427-6155

Authorized Official
Title or Position	:	PORTSMOUTH PHARMACY MANAGER
Name	:	JANET NADEAU-LEAVITT
Credential	:	R.PH.
Telephone Number	:	603-436-0562

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	03/07/2023

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Directions to “MARTIN'S POINT HEALTH CARE, INC ” Practice Location

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