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NPI Code Detail

MEDICARE: LAURA PETROZZA PHARMD, RPH

MEDICARE: LAURA PETROZZA PHARMD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist0202213032VA

General Provider Information

NPI Number : 1043815707
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA PETROZZA PHARMD, RPH
Provider Business Mailing Address
First Line : 6400 IRON BRIDGE RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-5204
Country : US
Telephone Number : 804-271-8361
Fax Number :
Provider Business Practice Location Address
First Line : 6400 IRON BRIDGE RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-5204
Country : US
Telephone Number : 804-271-8361
Fax Number : 804-275-3748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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