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Individual

AMMON DARTANION MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
1122 S UNIVERSITY AVE, LITTLE ROCK, AR 72204-1559
(501) 660-4470
Mailing address
1122 S UNIVERSITY AVE, LITTLE ROCK, AR 72204-1559

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13701
AR

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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