Individual
MR. SHANE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(331) 202-5931
Mailing address
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404-4704
(331) 202-5931
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17769
CO
Other
Enumeration date
02/07/2008
Last updated
04/24/2026
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