Individual
MR. DAN E. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
90 SW 250TH ST, NEWBERRY, FL 32669
(352) 472-2253
(352) 472-5515
Mailing address
13534 NW 7TH RD, NEWBERRY, FL 32669-4457
(352) 474-6048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 15005
FL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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