Provider Demographics
NPI:1447251863
Name:ORZOLEK, MARGARITA (RPH,CGP)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:ORZOLEK
Suffix:
Gender:F
Credentials:RPH,CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 TABB LAKES DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-4210
Mailing Address - Country:US
Mailing Address - Phone:757-766-2682
Mailing Address - Fax:757-766-2684
Practice Address - Street 1:300 PORT CENTRE PKWY
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-4925
Practice Address - Country:US
Practice Address - Phone:757-399-3881
Practice Address - Fax:757-399-4150
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist