Provider Demographics
NPI:1003440264
Name:VELDHUIJZEN, GEERTJE WILLEMIJN (PHARMD)
Entity Type:Individual
Prefix:
First Name:GEERTJE
Middle Name:WILLEMIJN
Last Name:VELDHUIJZEN
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 1:2506 NILES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-1924
Mailing Address - Country:US
Mailing Address - Phone:269-982-0034
Mailing Address - Fax:
Practice Address - Street 1:2506 NILES AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1924
Practice Address - Country:US
Practice Address - Phone:269-982-0034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302046803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist