Provider Demographics
NPI:1316212087
Name:PICKEL, VELINDA RUTH
Entity Type:Individual
Prefix:MRS
First Name:VELINDA
Middle Name:RUTH
Last Name:PICKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 HERSHEY AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-5702
Mailing Address - Country:US
Mailing Address - Phone:717-299-4737
Mailing Address - Fax:717-299-4740
Practice Address - Street 1:508 HERSHEY AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-5702
Practice Address - Country:US
Practice Address - Phone:717-299-4737
Practice Address - Fax:717-299-4740
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033066L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist