NPI 1417347022

Wanda Martinez

Practitioner Pharmacy Technician Bridgeport, CT

Practice location

Address: 165 Brookside Ave, Bridgeport, CT 06606-1502
Phone: (203) 683-8377

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 0013007

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Registry record

NPI: 1417347022
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2015
Record last updated: 3 Feb 2015

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.