Individual
REBECCA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8900
Mailing address
845 TOPSAIL TRCE, LAFAYETTE, IN 47909-8432
(765) 446-8372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021525A
IN
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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