Provider Demographics
NPI:1285079335
Name:MARTINI, MARCO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARCO
Middle Name:
Last Name:MARTINI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:MARINETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 3735
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85271
Mailing Address - Country:US
Mailing Address - Phone:602-369-8232
Mailing Address - Fax:
Practice Address - Street 1:8001 N. LINCOLN AVENUE
Practice Address - Street 2:SUITE 800
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:800-553-7359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist