Individual
MICHAEL LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
711 N EDMONDS AVE, MC CRORY, AR 72101-8278
(870) 731-2361
(870) 731-0075
Mailing address
201 SUMMERFIELD DR, BRYANT, AR 72022-3277
(501) 653-2890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD10359
AR
1835P1200X
Pharmacotherapy Pharmacist
PD10359
AR
Other
Enumeration date
10/18/2006
Last updated
01/17/2025
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