Individual
MRS. GWENDOLYN WADE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1442 JONES DAIRY RD, JASPER, AL 35501-6164
(205) 221-5595
(205) 221-5531
Mailing address
2303 LAKEWOOD CIR, JASPER, AL 35504-6788
(205) 295-0068
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12447
AL
Other
Enumeration date
09/08/2006
Last updated
06/13/2025
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