Provider Demographics
NPI:1619099074
Name:MCCARTHY, VICTORIA L (PHARMD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16427 YATES ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-2508
Mailing Address - Country:US
Mailing Address - Phone:402-496-4758
Mailing Address - Fax:
Practice Address - Street 1:989200 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3113
Practice Address - Country:US
Practice Address - Phone:402-559-2484
Practice Address - Fax:402-559-2411
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist