Individual
MARTY MARTINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12595 SENECA RD, STAGECOACH, NV 89429-8463
(775) 629-9368
Mailing address
12595 SENECA RD, STAGECOACH, NV 89429-8463
(775) 629-9368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16045
NV
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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