MEDICARE: MARTIN AND TUCKER INVESTMENTS 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	AR20706	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2138992	OTHER		PK

General Provider Information

NPI Number	:	1811237316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN AND TUCKER INVESTMENTS INC

Provider Business Mailing Address
First Line	:	3322 HIGHWAY 5 N
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72019-9031
Country	:	US
Telephone Number	:	501-847-2880
Fax Number	:	501-847-2881

Provider Business Practice Location Address
First Line	:	3322 HIGHWAY 5 N
Second Line	:
City	:	BRYANT
State	:	AR
Zip	:	72019-9031
Country	:	US
Telephone Number	:	501-847-2880
Fax Number	:	501-847-2881

Authorized Official
Title or Position	:	OWNER, PIC
Name	:	JONATHAN MARTIN
Credential	:	RPH
Telephone Number	:	501-847-2880

Provider Enumeration Date	:	02/20/2013
Last Update Date	:	12/07/2022

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Directions to “MARTIN AND TUCKER INVESTMENTS INC ” Practice Location

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