Provider Demographics
NPI:1790184745
Name:MARTINKO, EDWARD STEPHEN III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:STEPHEN
Last Name:MARTINKO
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 NEW PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8667
Mailing Address - Country:US
Mailing Address - Phone:610-858-9702
Mailing Address - Fax:
Practice Address - Street 1:1824 E RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-2884
Practice Address - Country:US
Practice Address - Phone:610-226-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP448633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist