Individual
BENJAMIN A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1218 8TH ST, FORT LUPTON, CO 80621-1600
(303) 506-7341
Mailing address
1218 8TH ST, FORT LUPTON, CO 80621-1600
(303) 506-7341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019625
CO
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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