| NPI | 1790959948 |
|---|---|
| Other Name | MARTIN'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMMY R POE Owner 662-887-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 01009) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2009-01-13 |