Individual
MARTIN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 ELECTRIC RD, SALEM, VA 24153-4432
(540) 986-4623
(540) 986-1828
Mailing address
161 ELECTRIC RD, SALEM, VA 24153-4432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202010744
VA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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