Provider Demographics
NPI:1831519537
Name:MARTIN, VICTORIYA D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIYA
Middle Name:D
Last Name:MARTIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3581 RICHLAND AVE SW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-4410
Mailing Address - Country:US
Mailing Address - Phone:803-648-6464
Mailing Address - Fax:
Practice Address - Street 1:220 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-2834
Practice Address - Country:US
Practice Address - Phone:803-648-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist