Provider Demographics
NPI:1043499544
Name:MARTIN, ERIC STEVEN (PHARM D)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:STEVEN
Last Name:MARTIN
Suffix:
Gender:M
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 1:300 ALUM BAY CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-7045
Mailing Address - Country:US
Mailing Address - Phone:661-805-5990
Mailing Address - Fax:
Practice Address - Street 1:5410 STOCKDALE HWY UNIT B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2502
Practice Address - Country:US
Practice Address - Phone:661-310-1888
Practice Address - Fax:661-885-9744
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist