Individual
DR. GLENN ERIC MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM, PHARM.D.
Contact information
Practice address
JOHN COCHRAN VA MEDICAL CENTER, 915 NORTH GRAND, ST. LOUIS, MO 63106
(314) 289-6339
Mailing address
375 BECKLEY PL, SAINT CHARLES, MO 63304-1030
(636) 577-7369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 39822
FL
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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