| Doctor Name: | MS. BRENDA RAE MARTIN |
| NPI Number: | 1063403970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPH |
| License Number: | 11686 |
| Business Practice Address: | Osawatomie State Hospital Rt 1 Box 500 Osawatomie, KS - 66064 |
| Business Phone Number: | 9137557213 |
| Business Fax Number: | 9137557045 |
| Mailing Address: | 309 E Peoria St, PAOLA |
| State: | KS |
| Postal Code: | 660711710 |
| Phone Number: | 9135573562 |
| Fax Number: | 9137557045 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P1300X |
| License Number: | 11686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Psychiatric |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |