Provider Demographics
NPI:1558084699
Name:DUNFORD, VICTORIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:DUNFORD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 N MAIN ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02779-1370
Mailing Address - Country:US
Mailing Address - Phone:401-316-8454
Mailing Address - Fax:
Practice Address - Street 1:365 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1777
Practice Address - Country:US
Practice Address - Phone:781-366-1797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH05453183500000X
MAPH240234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist