Individual
MRS. VIRGINIA JO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4863
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017307A
IN
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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