Gregory Wayne Martin, R.Ph.
Pharmacist in Vienna, WV. Individual provider (NPI-1).
NPI number1407155294
StatusActive
Last updated in NPPESMar 20, 2011
Details
- NPI
- 1407155294
- Entity type
- Individual (NPI-1)
- Name
- Gregory Wayne Martin
- Credential
- R.Ph.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2011
- Last updated
- Mar 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP0004550 | WV | Yes |
Practice location
2300 Grand Central AveVienna, WV 26105-1347
Phone 304-295-4573 · Fax 304-295-0639
Mailing address
2300 Grand Central AveVienna, WV 26105-1347
Phone 304-295-4573 · Fax 304-295-0639
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