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NPI Code Detail

MEDICARE: MARLIN MARTIN PHARM.D

MEDICARE:   MARLIN  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
1183500000XPharmacist22112CO

General Provider Information

NPI Number : 1952904658
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLIN MARTIN PHARM.D
Provider Business Mailing Address
First Line : 4005 E 8TH PL
Second Line :
City : DENVER
State : CO
Zip : 80220-3942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4005 E 8TH PL
Second Line :
City : DENVER
State : CO
Zip : 80220-3942
Country : US
Telephone Number : 303-749-3969
Fax Number : 303-800-7516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 11/17/2020

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Directions to “ MARLIN MARTIN PHARM.D” Practice Location

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