Provider Demographics
NPI:1447609268
Name:HUNT, VICTOR ANDREW (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:ANDREW
Last Name:HUNT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:DREW
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12951 HONEY ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:SUMMERDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36580-3957
Mailing Address - Country:US
Mailing Address - Phone:251-363-1072
Mailing Address - Fax:
Practice Address - Street 1:1255 S MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-1818
Practice Address - Country:US
Practice Address - Phone:251-971-1017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16517183500000X
TN0000038117183500000X
MSP13399183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist