Individual
JOHN MARTIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1099 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2418
(860) 236-6181
Mailing address
1099 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2418
(860) 236-6181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0012357
CT
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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