Provider Demographics
NPI:1659974251
Name:WARD, VICTORIA CHEN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:CHEN
Last Name:WARD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:SHEN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2500 PINEY BARK DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-3966
Mailing Address - Country:US
Mailing Address - Phone:732-485-9365
Mailing Address - Fax:
Practice Address - Street 1:2800 ARCTIC AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-3040
Practice Address - Country:US
Practice Address - Phone:757-422-2154
Practice Address - Fax:757-422-3221
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202214863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE