Provider Demographics
NPI:1326515271
Name:VELTRE, EMIL F (RPH)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:F
Last Name:VELTRE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1591 GULF BLVD APT 203S
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33767-2922
Mailing Address - Country:US
Mailing Address - Phone:727-667-5592
Mailing Address - Fax:
Practice Address - Street 1:1591 GULF BLVD APT 203S
Practice Address - Street 2:
Practice Address - City:CLEARWATER BEACH
Practice Address - State:FL
Practice Address - Zip Code:33767-2922
Practice Address - Country:US
Practice Address - Phone:727-667-5592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist