Individual
BETTY MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
900 W HENDERSON AVE, PORTERVILLE, CA 93257-1704
(559) 781-1590
Mailing address
PO BOX 1955, COLUMBIA, CA 95310-1955
(155) 978-1159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH24118
CA
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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