Healthcare Provider Details
I. General information
NPI: 1154930006
Provider Name (Legal Business Name): VICTORIA SARAH TOM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2020
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2001 DWIGHT WAY
BERKELEY CA
94704-2608
US
IV. Provider business mailing address
2001 DWIGHT WAY
BERKELEY CA
94704-2608
US
V. Phone/Fax
- Phone: 510-204-4444
- Fax:
- Phone: 510-204-4444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835X0200X |
| Taxonomy | Oncology Pharmacist |
| License Number | 81457 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: