Lisa S. Martin RPH

NPI 1104124098 - Pharmacist - 183500000X

NPI Details
NPI 1104124098
Gender Female
Enumeration Date 03/02/2011
Last Updated 03/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3345 PINEVILLE MATTHEWS RD
CHARLOTTE NC, 28226-9304, US
Phone (704) 543-6055
Fax
Business Location
906 JAYWOOD LN
MATTHEWS NC, 28105-5605, US
Phone (704) 847-4792
Fax
Toxanomy
Taxonomy Code 183500000X
License State North Carolina
License Number 09228
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According to our database, Mrs. Lisa S. Martin RPH NPI is 1104124098, taxonomy code is 183500000X and license number is 09228, license state is located at North Carolina. Lisa S. Martin RPH physically located at 3345 Pineville Matthews Rd, Charlotte NC, 28226-9304. NPI Number Lisa S. Martin RPH has the Individual type.

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1104124098 NPI number is provided on an as is basis without warranty of any kind. 1104124098 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa S. Martin RPH are for informational purposes only.