Individual
DR. MARTRELL JAVON GOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10 E 81ST AVE, MERRILLVILLE, IN 46410-5550
(219) 314-1089
Mailing address
10 E 81ST AVE, MERRILLVILLE, IN 46410-5550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26026803A
IN
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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