MEDICARE: DR. VIRIDIANA MARTINEZ PHARMD

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	23854	NV

General Provider Information

NPI Number	:	1285418418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRIDIANA MARTINEZ PHARMD

Provider Business Mailing Address
First Line	:	4645 POSSUM BERRY LN
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-3220
Country	:	US
Telephone Number	:	702-980-8759
Fax Number	:

Provider Business Practice Location Address
First Line	:	565 E CENTENNIAL PKWY
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5633
Country	:	US
Telephone Number	:	702-399-3405
Fax Number	:

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

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “ DR. VIRIDIANA MARTINEZ PHARMD” Practice Location

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