Provider Demographics
NPI:1639805187
Name:HIGHTOWER, VELMA L (CPHT)
Entity Type:Individual
Prefix:
First Name:VELMA
Middle Name:L
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 PENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2331
Mailing Address - Country:US
Mailing Address - Phone:585-586-8857
Mailing Address - Fax:585-381-2978
Practice Address - Street 1:1567 PENFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2331
Practice Address - Country:US
Practice Address - Phone:585-586-8857
Practice Address - Fax:585-381-2978
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30204352183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician