Provider Demographics
NPI:1821764267
Name:SCHULTZ, ROXANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROXANNE
Middle Name:
Last Name:SCHULTZ
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 1:7491 SHERWOOD CROSSING PL APT 303
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3652
Mailing Address - Country:US
Mailing Address - Phone:804-389-3297
Mailing Address - Fax:
Practice Address - Street 1:4816 S LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-2714
Practice Address - Country:US
Practice Address - Phone:804-226-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022197901835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist