Martin Memorial Physician Corporation, Inc
Community/Retail Pharmacy
10080 Sw Innovation Way Ste 102, Port St Lucie
Florida, 34987-2129
772-345-8166 772-345-8167
Martin Memorial Physician Corporation, Inc is a Community/Retail Pharmacy in Port St Lucie, Florida. It is located at 10080 Sw Innovation Way Ste 102, Port St Lucie and it's customer support contact number is 772-345-8166. The authorized person of Martin Memorial Physician Corporation, Inc is Timothy L. Longville who is Chief Accounting Officer/controller of the pharmacy and his contact number is 216-636-7416. Active license number of Martin Memorial Physician Corporation, Inc is PH30943 for Community/Retail Pharmacy in Florida.
Martin Memorial Physician Corporation, Inc 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.
Pharmacy Details:
Martin Memorial Physician Corporation, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Martin Memorial Physician Corporation, Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 10080 Sw Innovation Way Ste 102, Port St Lucie,
Florida, 34987-2129 |
| Phone: | 772-345-8166 |
| Fax: | 772-345-8167 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Timothy L. Longville |
| Position: | Chief Accounting Officer/controller |
| Contact Number: | 216-636-7416 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1407365513 |
| NPI Enumeration Date: | 21 Sep, 2017 |
| NPI Last Update On: | 08 Dec, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martin Memorial Physician Corporation, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH30943 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10080 Sw Innovation Way Ste 102,
Port St Lucie, Florida |
| Zip: | 34987-2129 |
| Phone Number: | 772-345-8166 |
| Fax Number: | 772-345-8167 |
Patients can reach Martin Memorial Physician Corporation, Inc at
10080 Sw Innovation Way Ste 102, Port St Lucie, Florida or can
call on customer care at 772-345-8166.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.