Individual
DR. TAYLOR RYAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
3200 N VIRGINIA AVE, OKLAHOMA CITY, OK 73118-3039
(405) 831-1031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15825
OK
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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