Individual
MRS. LORETTA MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1721 TAUSSIG BLVD, NORFOLK, VA 23511
(757) 314-6397
Mailing address
587 SANSAPOR RD, VIRGINIA BEACH, VA 23459-1000
(757) 425-1521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012577
VA
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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