Individual
LAUREN MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 623-1572
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17657
AL
183500000X
Pharmacist
Primary
E-13019
MS
183500000X
Pharmacist
PS50622
FL
Other
Enumeration date
04/06/2020
Last updated
10/04/2023
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