Provider Demographics
NPI:1356649016
Name:GETZSCHMANN, ANNELIZE
Entity Type:Individual
Prefix:MRS
First Name:ANNELIZE
Middle Name:
Last Name:GETZSCHMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 N GREAT NECK RD
Mailing Address - Street 2:COURT
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2268
Mailing Address - Country:US
Mailing Address - Phone:757-481-5001
Mailing Address - Fax:
Practice Address - Street 1:1340 N GREAT NECK RD
Practice Address - Street 2:COURT
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2268
Practice Address - Country:US
Practice Address - Phone:757-481-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist