Individual
DR. STACEY BROOKE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1602 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2682
(270) 737-3713
(270) 737-7878
Mailing address
1602 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2682
(270) 737-3713
(270) 737-7878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012700
KY
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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