Individual
ISAAC MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
615 S 18TH AVE, OTHELLO, WA 99344-1581
(509) 750-6021
Mailing address
615 S 18TH AVE, OTHELLO, WA 99344-1581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60654713
WA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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