Healthcare Provider Details

I. General information

NPI: 1548174394
Provider Name (Legal Business Name): ROSHEANNE ANAIS DELA CRUZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSHEANNE DELA CRUZ PHARMD

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 PARKERS LN
ALEXANDRIA VA
22306-3209
US

IV. Provider business mailing address

1937 SPAIN LN
VIRGINIA BEACH VA
23464-1696
US

V. Phone/Fax

Practice location:
  • Phone: 703-664-7278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202222336
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: