Provider Demographics
NPI:1104158773
Name:FRANCESCO, VICTOR A (PHARMD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:A
Last Name:FRANCESCO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2096 SPRINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2046
Mailing Address - Country:US
Mailing Address - Phone:856-403-3800
Mailing Address - Fax:856-403-3805
Practice Address - Street 1:2096 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2046
Practice Address - Country:US
Practice Address - Phone:856-403-3800
Practice Address - Fax:856-403-3805
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55766183500000X
MAPH240528183500000X
NJ28RI02913300183500000X
PARP450457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist