Individual
DAVID ELLIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1705 S MAIN ST, ROSWELL, NM 88203-1873
(575) 623-9001
(575) 625-0428
Mailing address
1705 S MAIN ST, ROSWELL, NM 88203-1873
(575) 623-9001
(575) 625-0428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00004065
NM
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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