Individual
DAVID MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2B STATE ROAD 344, EDGEWOOD, NM 87015-6951
(505) 286-9040
Mailing address
9 VISTA VERDE WAY, EDGEWOOD, NM 87015-8725
(505) 204-6143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008812
NM
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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