Individual
MARTIN LEE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(860) 984-0815
Mailing address
278 MAIN ST APT F208, WEST HAVEN, CT 06516-7323
(860) 984-0815
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0135058
VT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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