Provider Demographics
NPI:1184906653
Name:DE MARCO, ANTHONY PASQUALE (RPH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:PASQUALE
Last Name:DE MARCO
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3965 HOLLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2804
Mailing Address - Country:US
Mailing Address - Phone:757-306-9255
Mailing Address - Fax:757-306-9344
Practice Address - Street 1:3965 HOLLAND ROAD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-2804
Practice Address - Country:US
Practice Address - Phone:757-306-9255
Practice Address - Fax:757-306-9344
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204188183500000X
NJ28RI02155000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist