Jaclyn Martis

NPI #1114327376 in Lockport, Illinois

Provider Information

NPI Number: 1114327376
Entity Type: Individual
Name: Jaclyn Martis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 25, 2014
Last Updated: Aug 25, 2014

Practice Location

Address: 1420 LAWRENCE AVE
City: Lockport
State: Illinois
ZIP Code: 60441-4202
Phone: (815) 834-9058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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