Provider Demographics
NPI:1699373100
Name:DELMONTE, MARIE BURGER (RPH)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:BURGER
Last Name:DELMONTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:BURGER
Other - Last Name:DELMONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:2205 TANGLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4540 PRINCESS ANNE RD STE 117
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7963
Practice Address - Country:US
Practice Address - Phone:757-467-4650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist