Jerry W. Martin
NPI #1538280870 in Washington, Virginia
Provider Information
- NPI Number
- 1538280870
- Entity Type
- Organization
- Organization Name
- Jerry W. Martin
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 338 GAY STREET
- Address 2
- SUITE A
- City
- Washington
- State
- Virginia
- ZIP Code
- 22747-0269
- Phone
- (540) 675-3316
Authorized Official
- Name
- DR. JERRY W. MARTIN, M.D.
- Title
- PERMITTED DEPENSING PHHYSICIAN
- Phone
- (540) 675-3316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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