Provider Demographics
NPI:1316542269
Name:WARE, VICTORIA MARIE MILLER (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARIE MILLER
Last Name:WARE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3303 CLAIRMONT AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-3105
Mailing Address - Country:US
Mailing Address - Phone:205-322-3055
Mailing Address - Fax:
Practice Address - Street 1:3303 CLAIRMONT AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-3105
Practice Address - Country:US
Practice Address - Phone:205-322-3055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21436183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist