Individual
MRS. STEPHANIE NICHOLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1608 CHAPEL HILL RD, COLUMBIA, MO 65203-5464
(573) 447-4444
(573) 447-4054
Mailing address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
(573) 447-4054
(573) 443-8253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003029974
MO
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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