Individual
AUGUST MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1256 EL PASEO RD, LAS CRUCES, NM 88001-6026
(575) 525-8713
Mailing address
1256 EL PASEO RD, LAS CRUCES, NM 88001-6026
(575) 525-8713
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
NM-6165
NM
183500000X
Pharmacist
RPH-38875
TX
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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