MEDICARE: ZACHARY 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
1	183500000X	Pharmacist	17119	AL

General Provider Information

NPI Number	:	1740657139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY MARTIN PHARMD

Provider Business Mailing Address
First Line	:	7201 AARON ARONOV DR
Second Line	:
City	:	FAIRFIELD
State	:	AL
Zip	:	35064-1831
Country	:	US
Telephone Number	:	205-923-4788
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 AARON ARONOV DR
Second Line	:
City	:	FAIRFIELD
State	:	AL
Zip	:	35064-1831
Country	:	US
Telephone Number	:	205-923-4788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2015
Last Update Date	:	09/01/2015

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Directions to “ ZACHARY MARTIN PHARMD” Practice Location

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