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NPI Code Detail

MEDICARE: DEBRA KAY MARTIN PHARMD

MEDICARE: DEBRA KAY MARTIN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS014259AZ

General Provider Information

NPI Number : 1407186638
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA KAY MARTIN PHARMD
Provider Business Mailing Address
First Line : 10181 E CORTE MADERA FINA
Second Line :
City : TUCSON
State : AZ
Zip : 85730-5066
Country : US
Telephone Number : 520-240-3861
Fax Number :
Provider Business Practice Location Address
First Line : 9184 E VALENCIA RD
Second Line :
City : TUCSON
State : AZ
Zip : 85747-4902
Country : US
Telephone Number : 520-574-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2010
Last Update Date : 12/04/2022

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Directions to “ DEBRA KAY MARTIN PHARMD” Practice Location

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