Provider Demographics
NPI:1932439197
Name:VOYTKOWSKI, MARTHA IRENE (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:IRENE
Last Name:VOYTKOWSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S SOSSAMAN RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-2001
Mailing Address - Country:US
Mailing Address - Phone:480-325-4777
Mailing Address - Fax:
Practice Address - Street 1:420 S SOSSAMAN RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-2001
Practice Address - Country:US
Practice Address - Phone:480-325-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015617183500000X
AZ15617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist