Individual
MS. LIZA ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
3433 NW 56TH ST STE 140B, OKLAHOMA CITY, OK 73112-4430
(405) 945-4400
(405) 945-4407
Mailing address
3433 NW 56TH ST STE 140B, OKLAHOMA CITY, OK 73112-4430
(405) 945-4400
(405) 945-4407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11264
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11264
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
12/06/2018
Last updated
12/06/2018
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