Blake Martin

NPI #1770191587 in Parsons, Kansas

Provider Information

NPI Number
1770191587
Entity Type
Individual
Name
Blake Martin
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Jul 17, 2020
Last Updated
Jul 17, 2020

Practice Location

Address
2020 MAIN ST
State
Kansas
ZIP Code
67357-2700
Phone
(620) 421-2360

Specialties & Taxonomy Codes

Specialty
Pharmacist

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