| NPI | 1912253774 |
|---|---|
| Doing Business As | MARIETTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HANESH PATEL Rxm 904-999-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26285) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2022-02-24 |