Individual
DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 689-6635
(978) 688-6314
Mailing address
26 1ST ST, WINDHAM, NH 03087-1942
(978) 689-6635
(978) 688-6314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21316
MA
Other
Enumeration date
02/14/2007
Last updated
02/01/2021
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