Provider Demographics
NPI:1235732769
Name:SPINKS, CHELSEA R (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:R
Last Name:SPINKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10250 BRISTOW CENTER DR
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2200
Mailing Address - Country:US
Mailing Address - Phone:703-369-1739
Mailing Address - Fax:703-369-1915
Practice Address - Street 1:10250 BRISTOW CENTER DR
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-2200
Practice Address - Country:US
Practice Address - Phone:703-369-1739
Practice Address - Fax:703-369-1915
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215110183500000X
PARP455252183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist