Individual
MR. GERARDO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
175 HIGHWAY 274, LAKE WYLIE, SC 29710-6045
(803) 619-7028
Mailing address
175 HIGHWAY 274, LAKE WYLIE, SC 29710-6045
(803) 619-7028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9397
SC
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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