Provider Demographics
NPI:1679293070
Name:CARDENAS VELIZ, MARIBEL (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:CARDENAS VELIZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CHESWOOD MANOR DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-5380
Mailing Address - Country:US
Mailing Address - Phone:951-956-9329
Mailing Address - Fax:
Practice Address - Street 1:1919 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3305
Practice Address - Country:US
Practice Address - Phone:281-485-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy