Individual
MR. MICHAEL LEROY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2756 COMMONWEALTH AVE, SALT LAKE CITY, UT 84109-1416
(801) 484-8699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
146376-1701
UT
183500000X
Pharmacist
RPH 36481
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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