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Individual

MR. JOHN DAVID MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
220 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3848
(662) 289-3422
Mailing address
103 EUDORA WELTY DR APT G5, STARKVILLE, MS 39759-7750

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16752
MS

Other

Enumeration date
11/08/2020
Last updated
11/08/2020
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