Provider Demographics
NPI:1780945071
Name:MARTINS, ARSENIO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARSENIO
Middle Name:
Last Name:MARTINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 PILGRIM VILLAGE RD
Mailing Address - Street 2:UNIT 904
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-6937
Mailing Address - Country:US
Mailing Address - Phone:508-471-5263
Mailing Address - Fax:
Practice Address - Street 1:35 PILGRIM VILLAGE RD
Practice Address - Street 2:UNIT 904
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-6937
Practice Address - Country:US
Practice Address - Phone:508-471-5263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-03
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233735183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist