Healthcare Provider Details

I. General information

NPI: 1497035265
Provider Name (Legal Business Name): DENISE L DERRER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9480 W BROAD ST
RICHMOND VA
23294-5330
US

IV. Provider business mailing address

1790 E MARKET ST
HARRISONBURG VA
22801-5114
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-1816
  • Fax: 804-270-2793
Mailing address:
  • Phone: 540-432-1131
  • Fax: 540-432-1830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202208623
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: