MEDICARE: MARGARITA ORZOLEK RPH,CGP

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
1	183500000X	Pharmacist	0202010989	VA

General Provider Information

NPI Number	:	1447251863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA ORZOLEK RPH,CGP

Provider Business Mailing Address
First Line	:	704 TABB LAKES DR
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-4210
Country	:	US
Telephone Number	:	757-766-2682
Fax Number	:	757-766-2684

Provider Business Practice Location Address
First Line	:	300 PORT CENTRE PKWY
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-4925
Country	:	US
Telephone Number	:	757-399-3881
Fax Number	:	757-399-4150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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