Individual
ADAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
9054 LAUREL BRANCH CIR, MECHANICSVILLE, VA 23116-5820
(804) 690-7347
Mailing address
9054 LAUREL BRANCH CIR, MECHANICSVILLE, VA 23116-5820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012465
VA
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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