Individual
PATRICK KOGAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15262-40
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/17/2008
Last updated
08/11/2008
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