Provider Demographics
NPI:1568791218
Name:FOREMAN, VALERIE LEONARD
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LEONARD
Last Name:FOREMAN
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 1:18535 CHAMPION FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3991
Mailing Address - Country:US
Mailing Address - Phone:281-370-4961
Mailing Address - Fax:281-370-1927
Practice Address - Street 1:18535 CHAMPION FOREST DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3991
Practice Address - Country:US
Practice Address - Phone:281-370-4961
Practice Address - Fax:281-370-1927
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist