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NPI Code Detail

MEDICARE: NICOLE ANNEMARIE PIZARRO PHARMD

MEDICARE: NICOLE ANNEMARIE PIZARRO PHARMD
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
1183500000XPharmacist0202211572VA
2183500000XPharmacistRP447413PA

General Provider Information

NPI Number : 1538591367
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ANNEMARIE PIZARRO PHARMD
Provider Business Mailing Address
First Line : 506 REGENTS CROSSE LN APT 4C
Second Line :
City : HENRICO
State : VA
Zip : 23238-5594
Country : US
Telephone Number : 412-770-5176
Fax Number :
Provider Business Practice Location Address
First Line : 11290 W BROAD ST
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-5815
Country : US
Telephone Number : 804-360-8912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2013
Last Update Date : 08/03/2013

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Directions to “ NICOLE ANNEMARIE PIZARRO PHARMD” Practice Location

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