Individual
KERRY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
51 MARKET ST, SOUTH PORTLAND, ME 04106-3617
(207) 799-8166
Mailing address
5 MOORS POINT RD, SCARBOROUGH, ME 04074-8595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR12030
ME
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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