John Russell Martin, D.PH. Valid NPI
Individual provider · Pharmacist · Wewoka, OK
- NPI
- 1114067329
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 10991 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-07
- Last updated
- 2007-07-08
Practice location
Hwys Jct 270 & 56, Wewoka Indian Health Center
Wewoka, OK 74884-1475
(405) 257-7345