Individual
DR. J KELLY MARTIN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1717 S J ST, PHARMACY DEPT, TACOMA, WA 98405-4933
(253) 426-6692
(253) 426-4949
Mailing address
6775 WEATHER GLASS LN, GIG HARBOR, WA 98335-5106
(253) 426-6692
(253) 426-4949
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00009377
WA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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