Individual
JIM MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
10748 PRESTON WAY, POWELL, OH 43065-8604
(614) 570-8101
Mailing address
10748 PRESTON WAY, POWELL, OH 43065-8604
(614) 570-8101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03226238
OH
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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