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NPI Code Detail

MEDICARE: MARTRIEZ MORGAN

MEDICARE: MARTRIEZ MORGAN
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
1183500000XPharmacistPS65669FL

General Provider Information

NPI Number : 1831873652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTRIEZ MORGAN
Provider Business Mailing Address
First Line : PO BOX 27271
Second Line :
City : PANAMA CITY
State : FL
Zip : 32411-7271
Country : US
Telephone Number : 850-775-6016
Fax Number :
Provider Business Practice Location Address
First Line : 2533 THOMAS DR
Second Line :
City : PANAMA CITY
State : FL
Zip : 32408-6252
Country : US
Telephone Number : 850-235-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 06/21/2023

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Directions to “ MARTRIEZ MORGAN ” Practice Location

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