| NPI | 1730743865 |
|---|---|
| Doing Business As | MARTY'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DERRICK WHITE President 718-251-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |