Individual
DR. PAMELLA LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4620 E BASELINE RD, MESA, AZ 85206-4624
(480) 824-1260
Mailing address
31484 N GOLD FIELD RD, SAN TAN VALLEY, AZ 85143-3024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017412
AZ
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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