Individual
JOHN RYAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
3520 PACIFIC AVE SE, OLYMPIA, WA 98501-2121
(360) 491-0330
Mailing address
4519 TRENTON LOOP SE, OLYMPIA, WA 98501-4800
(406) 559-6007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WAPH60021633
WA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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