Individual
DR. ANDREA MAXINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
907 S 11TH ST, NILES, MI 49120-3402
(269) 683-0234
Mailing address
907 S 11TH ST, NILES, MI 49120-3402
(269) 683-0234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26020956A
IN
183500000X
Pharmacist
Primary
5302034431
MI
183500000X
Pharmacist
PS34098
FL
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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