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NPI Code Detail

MEDICARE: JOHANNA R MARTENS PHARMD

MEDICARE: JOHANNA R MARTENS 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
1183500000XPharmacist42190TX
2183500000XPharmacist5298SD

General Provider Information

NPI Number : 1689989527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA R MARTENS PHARMD
Provider Business Mailing Address
First Line : 4703 W COMMERCE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-1502
Country : US
Telephone Number : 210-434-5566
Fax Number : 210-434-1743
Provider Business Practice Location Address
First Line : 4703 W COMMERCE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78237-1502
Country : US
Telephone Number : 210-434-5566
Fax Number : 210-434-1743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2010
Last Update Date : 08/16/2010

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Directions to “ JOHANNA R MARTENS PHARMD” Practice Location

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