Jacquelyn Keenan Martin R.PH.

NPI 1093095507 - Pharmacist - 183500000X

NPI Details
NPI 1093095507
Gender Female
Enumeration Date 08/29/2011
Last Updated 08/29/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1477 W MAIN ST
SALEM VA, 24153-3120, US
Phone (540) 389-7251
Fax (540) 387-1876
Business Location
PO BOX 11780
BLACKSBURG VA, 24062-1780, US
Phone (704) 661-7051
Taxonomy Code 183500000X
License State South Carolina
License Number 006153
Remove 1093095507 NPI Number

According to our database, Ms. Jacquelyn Keenan Martin R.PH. NPI is 1093095507, taxonomy code is 183500000X and license number is 006153, license state is located at South Carolina. Jacquelyn Keenan Martin R.PH. physically located at 1477 W Main St, Salem VA, 24153-3120. NPI Number Jacquelyn Keenan Martin R.PH. has the Individual type.

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1093095507 NPI number is provided on an as is basis without warranty of any kind. 1093095507 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Keenan Martin R.PH. are for informational purposes only.