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TONYA MARIE MARTIN R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1073650487

Individual Registrant:
 TONYA MARIE MARTIN R.PH.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
93 ISOM PLAZA BOX 250  ISOM, KY 41824 US
Tel: 606-633-9238  Fax: --

Contact information for business:
538 RIDGEVIEW WAY  HAZARD, KY 41701-8924 US
Tel: 606-438-3182  Fax: --

Registration Information:
NPI: 1073650487
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
KY010873

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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