Provider Demographics
NPI:1043784010
Name:RICE, VALESIA EVETTE (RPH)
Entity Type:Individual
Prefix:MS
First Name:VALESIA
Middle Name:EVETTE
Last Name:RICE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4267 NORTHVALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1132
Mailing Address - Country:US
Mailing Address - Phone:281-468-3570
Mailing Address - Fax:
Practice Address - Street 1:4267 NORTHVALE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1132
Practice Address - Country:US
Practice Address - Phone:281-468-3570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist