Individual
TAMMY ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6605 4TH ST NW, LOS RANCHOS, NM 87107-6112
(505) 345-9059
Mailing address
5721 AIRPORT RD, SANTA FE, NM 87507-1868
(505) 216-1492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006012
NM
Other
Enumeration date
11/10/2011
Last updated
04/30/2012
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