Healthcare Provider Details

I. General information

NPI: 1053132852
Provider Name (Legal Business Name): SAMANTHA MARTINEZ-INIGUEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 ELLINGTON ST
DELANO CA
93215-2621
US

IV. Provider business mailing address

6908 GWENIVERE CT
BAKERSFIELD CA
93313-5579
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-9489
  • Fax:
Mailing address:
  • Phone: 559-630-0128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH93240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: