Jessica Martin
NPI #1508141904 in Granite City, Illinois
Provider Information
- NPI Number
- 1508141904
- Entity Type
- Individual
- Name
- Jessica Martin
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 17, 2011
- Last Updated
- Oct 17, 2011
Practice Location
- Address
- 2001 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4618
- Phone
- (618) 876-5095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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