Individual
ALEXANDER JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
99 MAIN ST, GORHAM, ME 04038-1380
(207) 839-6551
(207) 839-3257
Mailing address
99 MAIN ST, GORHAM, ME 04038-1380
(207) 839-6551
(207) 839-3257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5969
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PR5969
—
ME
Enumeration date
11/18/2020
Last updated
11/18/2020
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