Provider Demographics
NPI:1700577129
Name:SCHMOTZER, PETER AUGUST (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:AUGUST
Last Name:SCHMOTZER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10516 CRESTON RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-3013
Mailing Address - Country:US
Mailing Address - Phone:516-532-9269
Mailing Address - Fax:
Practice Address - Street 1:221 E HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2613
Practice Address - Country:US
Practice Address - Phone:804-530-1172
Practice Address - Fax:804-530-3664
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202217852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist