Individual
DR. DARREN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
1305 GAUSE BLVD, SLIDELL, LA 70458-3015
(985) 641-2550
Mailing address
206 BLACK JACK OAK DR, MADISONVILLE, LA 70447-9372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16954
LA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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