Individual
MR. ABRAHAM ANDREW MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16780 RENESLAND RD, LEAVENWORTH, KS 66048-9485
(913) 772-8212
Mailing address
16780 RENESLAND RD, LEAVENWORTH, KS 66048-9485
(913) 772-8212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30108
TX
Other
Enumeration date
07/12/2008
Last updated
07/12/2008
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