Individual
ELAINIE MARLENE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
105 N ALTON BLVD, ALTON, TX 78573-0256
(956) 580-3539
Mailing address
2219 CEDRO DR, SAN JUAN, TX 78589-4166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61374
TX
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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