Provider Demographics
NPI:1487259602
Name:MARECHEAU, ANNETTE PATRICIA (PHARMACIST)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:PATRICIA
Last Name:MARECHEAU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5227 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-3923
Mailing Address - Country:US
Mailing Address - Phone:202-723-5811
Mailing Address - Fax:202-723-2763
Practice Address - Street 1:5227 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3923
Practice Address - Country:US
Practice Address - Phone:202-723-5811
Practice Address - Fax:202-723-2763
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH29801835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy