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NPI Code Detail

MEDICARE: DR. VICTORIA LEIGH BORDEN PHARM.D.

MEDICARE: DR. VICTORIA LEIGH BORDEN PHARM.D.
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
1183500000XPharmacist0202212231VA

General Provider Information

NPI Number : 1710399357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA LEIGH BORDEN PHARM.D.
Provider Business Mailing Address
First Line : 3376 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-5620
Country : US
Telephone Number : 757-340-8013
Fax Number :
Provider Business Practice Location Address
First Line : 3376 VIRGINIA BEACH BLVD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-5620
Country : US
Telephone Number : 757-340-8013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2014
Last Update Date : 06/02/2014

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