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Individual

DR. PETER ALBERT MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2280
Mailing address
PO BOX 14767, ODESSA, TX 79768-4767
(925) 334-1090

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
68804
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42434498
DRIVERS LICENSE
TX
Enumeration date
07/23/2021
Last updated
07/23/2021
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