Martins Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Canton, NC
NPI 1144366170 · NPPES record last updated Jan 11, 2011
Key facts
- NPI
- 1144366170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 02960 (NC)
- Legal business name
- MARTINS DRUG STORE INC
- Practice address
- 24 Park St
Canton, NC 28716-4428 - Phone
- (828) 648-2321
- Fax
- (828) 648-2322
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Sam Burrus
- Title
- Pharmacist
- Phone
- (828) 648-2321
National Provider Directory
Locations
80 Park St
Canton, NC 28716
Phone (828) 648-2321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 02960 | NC | Yes |
Addresses
Primary practice location
24 Park St
Canton, NC 28716-4428
Mailing address
24 Park St
Canton, NC 28716-4428
Phone (828) 648-2321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404364 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0445064 | Medicaid | NC |
Other names
- MARTINS DRUG STORE
Other providers in Canton, NC
- Liberty Commons of Haywood County,LLC
- Liberty Corner Enterprises, Inc.
- Lifespan Incorporated
- Stephanie Renee Long
- Courtney Ann Maloney
- Dana Janese Matthews
- Morgan McAslan
- Jeanne Ann McCall
- Meridian Behavioral Health Services
- Darren Mesibov
All providers in Canton, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.