Individual
TATIANA ROSE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH,PHARMD
Contact information
Practice address
1642 WILLIAMS HWY, GRANTS PASS, OR 97527-5660
(541) 479-6698
Mailing address
1599 SE N ST APT G202, GRANTS PASS, OR 97526-4086
(917) 626-9629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018611
OR
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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