Individual
GERALD WESLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
453 WILDWOOD DR, GRAND JUNCTION, CO 81507-2505
(970) 245-8078
(970) 245-8078
Mailing address
453 WILDWOOD DR, GRAND JUNCTION, CO 81507-2505
(970) 245-8078
(970) 245-8078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11116
CO
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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