NPI 1003165176

Anthony James Martin, PHARMD

Practitioner Pharmacist Mundelein, IL

Practice location

Address: 1501 S Lake St, Mundelein, IL 60060-4258
Phone: (847) 566-0991

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.295968 (IL)

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Registry record

NPI: 1003165176
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2012
Record last updated: 30 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.