Provider Demographics
NPI:1043782345
Name:MARTIN, MARTIKA CHRISTINE (PHARMD, BCGP, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARTIKA
Middle Name:CHRISTINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHARMD, BCGP, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12871 RED GATE RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-9048
Mailing Address - Country:US
Mailing Address - Phone:606-305-1692
Mailing Address - Fax:
Practice Address - Street 1:101 NW 1ST ST STE 201
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1259
Practice Address - Country:US
Practice Address - Phone:812-303-0002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0193321835P1300X, 1835P0018X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric