Healthcare Provider Details

I. General information

NPI: 1750202867
Provider Name (Legal Business Name): BAILEY MARIAH HOSKINS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11087 MAIN ST
MARTIN KY
41649-7999
US

IV. Provider business mailing address

11087 MAIN ST
MARTIN KY
41649-7999
US

V. Phone/Fax

Practice location:
  • Phone: 606-285-3690
  • Fax:
Mailing address:
  • Phone: 606-285-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number022671
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: