Provider Demographics
NPI:1154694123
Name:BYRD, VICTORIA URANKAR (RPH)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:URANKAR
Last Name:BYRD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3897 CAMERON DR NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3888
Mailing Address - Country:US
Mailing Address - Phone:360-515-0687
Mailing Address - Fax:
Practice Address - Street 1:3897 CAMERON DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-3888
Practice Address - Country:US
Practice Address - Phone:360-515-0687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00062152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist