Provider Demographics
NPI:1700167210
Name:AGBETOR-FUMEY, VICTORIA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:AGBETOR-FUMEY
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 1:200 EAGLEVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1157
Mailing Address - Country:US
Mailing Address - Phone:610-594-3567
Mailing Address - Fax:610-594-2039
Practice Address - Street 1:1648 HUNGTINGDON PIKE
Practice Address - Street 2:0255
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19146
Practice Address - Country:US
Practice Address - Phone:215-544-5851
Practice Address - Fax:215-544-5858
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4403631835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6006123OtherNCPDP