Individual
MARTIN L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6416
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6416
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
9429
OK
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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