Individual
LYNETTE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 ROOSEVELT ST, UNION CITY, NJ 07087-9603
(201) 491-1110
Mailing address
225 ROOSEVELT ST, UNION CITY, NJ 07087-9603
(201) 491-1110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03705900
NJ
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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