Provider Demographics
NPI:1841954773
Name:RICE, VICTORIA NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:NICOLE
Last Name:RICE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:NICOLE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7030 HACKS CROSS RD
Mailing Address - Street 2:
Mailing Address - City:OLIVE BRANCH
Mailing Address - State:MS
Mailing Address - Zip Code:38654-4471
Mailing Address - Country:US
Mailing Address - Phone:662-890-8644
Mailing Address - Fax:
Practice Address - Street 1:7030 HACKS CROSS RD
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-4471
Practice Address - Country:US
Practice Address - Phone:662-890-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45167183500000X
MSE-100459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist