Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON KYLE MARTINEZ, PHARMD
ActivePharmacist Clinician (PhC) · SOUTH WINDSOR, CT
Registration Details
- NPI Number
- 1710498589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2017 (8.505713634035 yrs)
- Last Updated
- Oct 19, 2017
- License
-
S021641 (AZ)
Practice Information
- Address
-
200 ANDREWS WAY APT 206SOUTH WINDSOR, CT, 060746995Browse CT providers · Browse ZIP 06074
- Phone
- 4807104324
- Fax
- 4807104324
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
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.