Individual
DR. JOHN BARRETT MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1501 GOODMAN RD W, HORN LAKE, MS 38637-1400
(662) 342-9283
(662) 342-9289
Mailing address
4044 UPPER VALLEY CV, OLIVE BRANCH, MS 38654-6095
(901) 826-7613
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09877
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330158
—
MS
Enumeration date
12/16/2011
Last updated
12/16/2011
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