Durand Dale Martin Jr.
Pharmacist in Cordova, TN. Individual provider (NPI-1).
NPI number1689401697
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1689401697
- Entity type
- Individual (NPI-1)
- Name
- Durand Dale Martin Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 47447 | TN | Yes |
Practice location
8046 Macon RdCordova, TN 38018-8531
Phone 901-753-1331
Mailing address
1542 Patina DrCollierville, TN 38017-4519
Phone 901-605-0520
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All 64 Pharmacist providers in Cordova · All 1,789 providers in Cordova
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