Individual
ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1601 MISSOURI AVE, CARTHAGE, MO 64836-3060
(417) 359-8185
(417) 359-8276
Mailing address
1601 MISSOURI AVE, CARTHAGE, MO 64836-3060
(417) 359-8185
(417) 359-8276
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004031550
MO
183500000X
Pharmacist
R-13567
OK
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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