Pat Martin RPH Inc
Organization Active NPI Community/Retail Pharmacy · Saint Martinville, LA
NPI 1689763237 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1689763237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PAT MARTIN RPH INC
- Practice address
- 1117 N Main St
Ste a
Saint Martinville, LA 70582-3513 - Phone
- (337) 394-6058
- Fax
- (337) 394-3387
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Murphy Martin
- Title
- Owner
- Phone
- (337) 394-6058
National Provider Directory
Locations
1117 N Main St
Ste A
Saint Martinville, LA 70582
Phone (337) 394-6058
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1706IR | LA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1117 N Main St
Ste a
Saint Martinville, LA 70582-3513
Mailing address
1117 N Main St
Ste a
Saint Martinville, LA 70582-3513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1253766 | Medicaid | LA | |
| 1919147 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- MEDICINE SHOPPE
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All providers in Saint Martinville, LA · Community/Retail Pharmacy in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.