Provider Demographics
NPI:1235419789
Name:MARTINEZ, LUCERO JEANETTE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUCERO
Middle Name:JEANETTE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:1800 ORCHARD GATEWAY BLVD
Mailing Address - Street 2:TARGET PHARMACY STORE NUMBER T2177
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-6500
Mailing Address - Country:US
Mailing Address - Phone:630-518-9043
Mailing Address - Fax:331-643-4343
Practice Address - Street 1:1800 ORCHARD GATEWAY BLVD
Practice Address - Street 2:TARGET PHARMACY STORE NUMBER T2177
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-6500
Practice Address - Country:US
Practice Address - Phone:630-518-9043
Practice Address - Fax:331-643-4343
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2015-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL051.295126183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist