Individual
MARY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-2056
(602) 239-4082
Mailing address
PO BOX 178, LAVEEN, AZ 85339-0178
(602) 237-2290
(602) 239-4082
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11635
AZ
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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