Provider Demographics
NPI:1447730189
Name:BULKIN, VICTORIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:BULKIN
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 1:14436 PEBBLE HILL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2459
Mailing Address - Country:US
Mailing Address - Phone:301-919-3669
Mailing Address - Fax:
Practice Address - Street 1:5510 NORBECK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2441
Practice Address - Country:US
Practice Address - Phone:301-438-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist