Individual
DR. CHARLES MATTHEW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4014 DUTCHMANS LN, LOUISVILLE, KY 40207-4715
(502) 894-4464
Mailing address
11722 OAK BAY DR, LOUISVILLE, KY 40245-6492
(859) 229-7121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013362
KY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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