Individual
JUSTIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 RICHMOND RD, WILLIAMSBURG, VA 23188-1985
(757) 565-6407
Mailing address
5601 RICHMOND RD, WILLIAMSBURG, VA 23188-1985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213319
VA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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