Provider Demographics
NPI:1437541083
Name:SCOTT-FISHER, VICTORIA ANN (RPH)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:SCOTT-FISHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:ANN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1254 JACARANDA BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-4508
Mailing Address - Country:US
Mailing Address - Phone:941-497-3368
Mailing Address - Fax:
Practice Address - Street 1:1254 JACARANDA BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292-4508
Practice Address - Country:US
Practice Address - Phone:941-497-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35116183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist