Provider Demographics
NPI:1861149825
Name:SHEARIN, VICTORIA ANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
Last Name:SHEARIN
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 1:1308 QUINN RD APT 304
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-1881
Mailing Address - Country:US
Mailing Address - Phone:252-326-9255
Mailing Address - Fax:
Practice Address - Street 1:253 RUIN CREEK RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5916
Practice Address - Country:US
Practice Address - Phone:252-492-3404
Practice Address - Fax:252-433-4649
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist