Individual
TONYA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
93 ISOM PLAZA BOX 250, ISOM, KY 41824
(606) 633-9238
Mailing address
538 RIDGEVIEW WAY, HAZARD, KY 41701-8924
(606) 438-3182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010873
KY
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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