MEDICARE: MARY BETH MARTIN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP0005233	WV

General Provider Information

NPI Number	:	1053912303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BETH MARTIN RPH

Provider Business Mailing Address
First Line	:	PO BOX 646
Second Line	:
City	:	ATHENS
State	:	WV
Zip	:	24712-0646
Country	:	US
Telephone Number	:	304-920-7415
Fax Number	:	304-431-2116

Provider Business Practice Location Address
First Line	:	201 GREASY RIDGE RD
Second Line	:
City	:	PRINCETON
State	:	WV
Zip	:	24739-6900
Country	:	US
Telephone Number	:	304-431-2105
Fax Number	:	304-431-2116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

Similar Medicare Providers

1750327342 — JAMES P MORGAN MD
Practice Location Address:

277 GREASY RIDGE RD
PRINCETON, WV
24739-6900

Practice Phone: 423-737-7415
Practice Fax:

1093732133 — WAL-MART STORES EAST LP
Practice Location Address:

201 GREASY RIDGE RD
PRINCETON, WV
24739-6900

Practice Phone: 304-431-2105
Practice Fax:

1609275049 — MRS. NICKI DAWN MARTIN APRN,FNP-BC
Practice Location Address:

277 GREASY RIDGE RD
PRINCETON, WV
24739-6900

Practice Phone: 304-425-7615
Practice Fax: 304-425-7635

1326648056 — DR. SUSANNA GOODNITE RPH
Practice Location Address:

201 GREASY RIDGE RD
PRINCETON, WV
24739-6900

Practice Phone: 304-431-2105
Practice Fax: 304-431-2116

1699376020 — MISTELLE H SCOTT
Practice Location Address:

201 GREASY RIDGE RD
PRINCETON, WV
24739-6900

Practice Phone: 304-431-2105
Practice Fax: 304-431-2116

1104920396 — WAL-MART STORES EAST, LP
Practice Location Address:

201 GREASY RIDGE RD
PRINCETON, WV
24740-6900

Practice Phone: 304-431-2100
Practice Fax:

Directions to “ MARY BETH MARTIN RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.