Individual
MS. BRENDA RAE MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
OSAWATOMIE STATE HOSPITAL, RT 1 BOX 500, OSAWATOMIE, KS 66064
(913) 755-7213
(913) 755-7045
Mailing address
309 E PEORIA ST, PAOLA, KS 66071-1710
(913) 557-3562
(913) 755-7045
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
11686
KS
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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