Provider Demographics
NPI:1578835559
Name:GAYDESKI, VICTORIA PAGE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:PAGE
Last Name:GAYDESKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9650 STRICKLAND RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1902
Mailing Address - Country:US
Mailing Address - Phone:919-845-9356
Mailing Address - Fax:919-676-4843
Practice Address - Street 1:9650 STRICKLAND RD
Practice Address - Street 2:SUITE 105
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1902
Practice Address - Country:US
Practice Address - Phone:919-845-9356
Practice Address - Fax:919-676-4843
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist