Individual
DR. KEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3615 PACIFIC AVE, TACOMA, WA 98418-7921
(253) 682-4660
Mailing address
4605 SW 328TH PL, FEDERAL WAY, WA 98023-1925
(425) 275-3890
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
PH00021477
WA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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