Individual
MR. ROBERT WILLIAM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1106 S BUSINESS HIGHWAY 61, BOWLING GREEN, MO 63334-5233
(573) 324-3383
(573) 324-6388
Mailing address
1106 S BUSINESS HIGHWAY 61, BOWLING GREEN, MO 63334-5233
(573) 324-3383
(573) 324-6388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600121420
—
MO
Enumeration date
04/07/2011
Last updated
04/07/2011
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