Provider Demographics
NPI:1447216601
Name:BRYANT-RIGGINS, VICTORIA ELAINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ELAINE
Last Name:BRYANT-RIGGINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4800 DEERWOOD CAMPUS PKWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-6498
Mailing Address - Country:US
Mailing Address - Phone:904-905-0194
Mailing Address - Fax:904-301-1597
Practice Address - Street 1:4800 DEERWOOD CAMPUS PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-6498
Practice Address - Country:US
Practice Address - Phone:904-905-0194
Practice Address - Fax:904-301-1597
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00199811835P1200X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy