Provider Demographics
NPI:1225313471
Name:HARDIG, VICTORIA PARKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:PARKER
Last Name:HARDIG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:MARIE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:920 S KIRKMAN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2203
Mailing Address - Country:US
Mailing Address - Phone:407-253-6288
Mailing Address - Fax:407-253-6292
Practice Address - Street 1:920 S KIRKMAN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2203
Practice Address - Country:US
Practice Address - Phone:407-253-6288
Practice Address - Fax:407-253-6292
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41320183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist