Provider Demographics
NPI:1598788598
Name:MARTIN DRUGS INC
Entity Type:Organization
Organization Name:MARTIN DRUGS INC
Other - Org Name:THRIVE ENHANCED CARE RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCAFFERTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:610-541-4444
Mailing Address - Street 1:627 S CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2315
Mailing Address - Country:US
Mailing Address - Phone:610-338-0966
Mailing Address - Fax:610-338-0961
Practice Address - Street 1:627 S CHESTER RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2315
Practice Address - Country:US
Practice Address - Phone:610-338-0966
Practice Address - Fax:610-338-0961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
PAPP413696L3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010255140001Medicaid
PA1598788598Medicaid
3949712OtherNCPDP PROVIDER IDENTIFICATION NUMBER