Organization
VICTORIA PHARMACY INC
Active
Organization
VICTORIA PHARMACY INC
Active
Other names
MEGA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY POND RPH (PRESIDENT)
(253) 473-1919
Entity
Organization
Contact information
Practice address
8001 S HOSMER ST, SUITE C, TACOMA, WA 98408-1017
(253) 302-4178
(253) 503-0858
Mailing address
PO BOX 9299, TACOMA, WA 98490-0299
(253) 302-4178
(253) 503-0858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00002783
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4917590
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6001333
—
WA
05
—
9056698
—
WA
Enumeration date
10/18/2005
Last updated
03/08/2012
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