Ida Martin, PHARM D

NPI #1336749365 in Pryor, Oklahoma

Provider Information

NPI Number
1336749365
Entity Type
Individual
Name
Ida Martin, PHARM D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM D
Enumeration Date
Oct 28, 2020
Last Updated
Oct 28, 2020

Practice Location

Address
4901 S MILL ST
City
Pryor
ZIP Code
74361-6837
Phone
(918) 825-3663

Specialties & Taxonomy Codes

Specialty
Pharmacist

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