Individual
DALE JEROME MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 E. CAMELBACK RD, PHOENIX, AZ 85016
(602) 277-1727
(602) 277-4260
Mailing address
1610 E. CAMELBACK RD, PHOENIX, AZ 85016
(602) 277-1727
(602) 277-4260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16043
AZ
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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