Individual
RYAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 EMILY DR, CLARKSBURG, WV 26301-5501
(304) 566-3913
(304) 623-1112
Mailing address
102 EMILY DR, CLARKSBURG, WV 26301-5501
(304) 566-3913
(304) 623-1112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0011669
WV
Other
Enumeration date
08/13/2019
Last updated
05/07/2026
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