Provider Demographics
NPI:1679774608
Name:VELACORP LTD
Entity Type:Organization
Organization Name:VELACORP LTD
Other - Org Name:LEES PHARMACY IV INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-686-3716
Mailing Address - Street 1:1901 S 1ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1215
Mailing Address - Country:US
Mailing Address - Phone:956-686-3716
Mailing Address - Fax:
Practice Address - Street 1:5120 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2834
Practice Address - Country:US
Practice Address - Phone:956-668-3970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty