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NPI Code Detail

MEDICARE: DR. SHERRY PRICKETT MARTIN PHARMD

MEDICARE: DR. SHERRY PRICKETT 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
1183500000XPharmacist13741AL
2183500000XPharmacistPS 47072FL
3183500000XPharmacist20228GA

General Provider Information

NPI Number : 1710984190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERRY PRICKETT MARTIN PHARMD
Provider Business Mailing Address
First Line : 21 OLD SANDFORT RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36869-2708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1831 5TH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8915
Country : US
Telephone Number : 706-321-6672
Fax Number : 706-321-6695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 02/10/2020

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