Most Relevant Information
Provider Data
| NPI Number: | 1003411398 |
| Provider Name: | GEORGE MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 011758 |
Most Important Dates
| Enumeration Date: | 12/03/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
231 S 2ND ST
DANVILLE
KY
404221803
Practice Location Phone/Fax
| Phone: | 8592362314 |
| Fax: |
Provider Mailing Location
511 INDIAN CREEK ROAD
LEBANON
KY
40033
Provider Mailing Phone/Fax
| Phone: | 8596089051 |
| Fax: |