Individual
DR. KEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10118 SAINT GEORGES DR, ROWLETT, TX 75089-8461
(214) 298-6509
Mailing address
10118 SAINT GEORGES DR, ROWLETT, TX 75089-8461
(214) 298-6509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017199
LA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
41690
TX
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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