DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA MARTIN, PHARM D

Active Sole Proprietor

IDA MARTIN, PHARM D is a Pharmacist healthcare provider located in PRYOR, Oklahoma. NPI 1336749365 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · PRYOR, OK

Registration Details

NPI Number
1336749365
Provider Type
Individual
Gender
Female
NPI Issued
Oct 28, 2020 (5.790980892955 yrs)
Last Updated
Oct 28, 2020
License
14021 (OK)
Sole Proprietor
Yes

Practice Information

Address
4901 S MILL ST
PRYOR, OK, 743616837
Browse OK providers · Browse ZIP 74361
Phone
9188253663
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in PRYOR, OK

Name Credential NPI
MARK R. MARTIN D.PH 1689734097
DEREK LANCE COATS PHARM.D. 1740422856
DANA TIM KNOWLES DPH 1124468558
DR. KATHERINE SUZAN GOINS PHARM D 1184066516
TIFFANY CELEST CULP 1043713126
MEGAN MARTIN 1114402872
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.