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Individual

DR. MARDOQUEO JOSEPH MARTINEZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
Mailing address
5901 W BEHREND DR, APT 3107, GLENDALE, AZ 85308-6943
(505) 249-7154

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021461
AZ

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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