Individual
PAMELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W PAULINE WHITAKER PKWY, ROGERS, AR 72758-9104
(479) 254-6806
Mailing address
3600 W WASHINGTON ST, BROKEN ARROW, OK 74012-6113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15538
OK
183500000X
Pharmacist
PD12424
AR
Other
Enumeration date
11/17/2013
Last updated
02/20/2023
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