Martin Memorial Medical Center Outpatient Pharmacy

LBN: Martin Memorial Medical Center Inc
Martin Memorial Medical Center Outpatient Pharmacy is an health care organization with primary practice located at 200 Se Hospital Ave , Stuart FL 34994-2346. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Martin Memorial Medical Center Inc can be contacted via phone (772) 288-5813, or through Longville, Timothy L. via phone (216) 636-7416.

Contact Information

Primary practice address
200 Se Hospital Ave Stuart FL 34994-2346
Fax: (772) 221-2064
Website:
Authorized official contact:
Name: Longville, Timothy L.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH9554 Florida
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1346305554
LBN Legal business name Martin Memorial Medical Center Inc
DBA Doing business as Martin Memorial Medical Center Outpatient Pharmacy
Authorized official Longville, Timothy L.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Dec 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346305554 NPPES
Other 2009571 PK

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