MEDICARE: DR. VICTORIA PARADISO 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	27946	NC

General Provider Information

NPI Number	:	1073397527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA PARADISO PHARMD

Provider Business Mailing Address
First Line	:	134 PINE RIDGE DR
Second Line	:
City	:	WALLACE
State	:	NC
Zip	:	28466-2356
Country	:	US
Telephone Number	:	252-560-4524
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 PINE RIDGE DR
Second Line	:
City	:	WALLACE
State	:	NC
Zip	:	28466-2356
Country	:	US
Telephone Number	:	252-560-4524
Fax Number	:

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

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	08/23/2023

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Directions to “ DR. VICTORIA PARADISO PHARMD” Practice Location

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