Individual
MEGAN J MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2333 W 57TH ST STE 109, SIOUX FALLS, SD 57108-5054
(605) 331-3190
(605) 331-3243
Mailing address
2333 W 57TH ST STE 109, SIOUX FALLS, SD 57108-5054
(605) 331-3190
(605) 331-3243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5867
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5867
STATE LICENSE
SD
Enumeration date
03/05/2021
Last updated
03/05/2021
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