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NPI Code Detail

MEDICARE: DR. DAVID RANDALL MARTIN PHARM D.

MEDICARE: DR. DAVID RANDALL MARTIN PHARM D.
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
1183500000XPharmacist34265TN

General Provider Information

NPI Number : 1033417696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID RANDALL MARTIN PHARM D.
Provider Business Mailing Address
First Line : 10805 KINGSTON PIKE STE 100
Second Line :
City : KNOXVILLE
State : TN
Zip : 37934-3040
Country : US
Telephone Number : 865-801-5632
Fax Number :
Provider Business Practice Location Address
First Line : 4409 CHAPMAN HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-4366
Country : US
Telephone Number : 865-573-9906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 12/16/2025

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Directions to “ DR. DAVID RANDALL MARTIN PHARM D.” Practice Location

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