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MARTINS MARK-IT PHARMACY INC NPI 1750392254


NPI Information

NPI: 1750392254
Provider Name: MARTINS MARK-IT PHARMACY INC

Doing Business As: MARTIN'S SOUTHGATE DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 50D0996659

Address:
5201 CAPITOL BLVD SW
TUMWATER, WA
ZIP 98501
Phone: (360) 943-4043
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MARTINS MARK-IT PHARMACY INC is a community/retail pharmacy pharmacy in Tumwater, WA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MARTINS MARK-IT PHARMACY INC NPI is 1750392254. The provider is registered as an organization entity type.
The provider Is Doing Business As Martin's Southgate Drug.

The provider's business location address is:

5201 CAPITOL BLVD SW
TUMWATER, WA
ZIP 98501-418
Phone: (360) 943-4043
Fax: (360) 943-4810

The provider's authorized official is Jeff Harrell .
The authorized official title is Owner and has the following contact phone number (360) 642-3200.

The CLIA number assigned to this NPI record is 50D0996659 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy60264564WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12135667OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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