Provider Demographics
NPI:1134400716
Name:MARTIN, JOYCE W (RPH)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:W
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 HEBRON RD
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1354
Mailing Address - Country:US
Mailing Address - Phone:740-522-6523
Mailing Address - Fax:740-522-4927
Practice Address - Street 1:764 HEBRON RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1354
Practice Address - Country:US
Practice Address - Phone:740-522-6523
Practice Address - Fax:740-522-4927
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH030314531183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist