Provider Demographics
NPI:1659807840
Name:SWICK, VICTORIA SHEA (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:SHEA
Last Name:SWICK
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:SHEA
Other - Last Name:PENNINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3675 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1124
Mailing Address - Country:US
Mailing Address - Phone:614-239-0404
Mailing Address - Fax:614-239-0431
Practice Address - Street 1:3595 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3440
Practice Address - Country:US
Practice Address - Phone:614-566-3800
Practice Address - Fax:614-566-1107
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-07
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334474-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist