Individual
MR. MARTIN ALEXANDER KNIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
EXC 16844
CA
183700000X
Pharmacy Technician
Primary
1101-0132-5393-524
TN
Other
Enumeration date
06/21/2006
Last updated
08/09/2007
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