Provider Demographics
NPI:1225639776
Name:VELI, MATTHEW JOSEPH (PHARMD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:JOSEPH
Last Name:VELI
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 1:261 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1400
Mailing Address - Country:US
Mailing Address - Phone:717-969-6041
Mailing Address - Fax:717-969-6042
Practice Address - Street 1:261 WILSON AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1400
Practice Address - Country:US
Practice Address - Phone:717-969-6041
Practice Address - Fax:717-969-6042
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450676183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist