Stephen Bradley Martin, PHARMD

NPI #1215263959 in Tyler, Texas

Provider Information

NPI Number: 1215263959
Entity Type: Individual
Name: Stephen Bradley Martin, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Nov 1, 2009
Last Updated: Nov 1, 2009

Practice Location

Address: 1620 S BROADWAY AVE
City: Tyler
State: Texas
ZIP Code: 75701-4260
Phone: (903) 533-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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