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NPI Code Detail

MEDICARE: GINA MARIE PRIZZIO PHARMD

MEDICARE: GINA MARIE PRIZZIO 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0202218939VA

General Provider Information

NPI Number : 1942812136
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MARIE PRIZZIO PHARMD
Provider Business Mailing Address
First Line : 2711 PINERIDGE LN
Second Line :
City : POWHATAN
State : VA
Zip : 23139-5031
Country : US
Telephone Number : 804-901-4438
Fax Number :
Provider Business Practice Location Address
First Line : 9000 STAPLES MILL RD
Second Line :
City : HENRICO
State : VA
Zip : 23228-2021
Country : US
Telephone Number : 804-977-9515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2020
Last Update Date : 06/04/2026

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