Individual
PATRICK MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3 ALTURA DR, SANTA FE, NM 87508-8328
(505) 930-1136
Mailing address
3 ALTURA DR, SANTA FE, NM 87508-8328
(505) 930-1136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005935
NM
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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