Provider Demographics
NPI:1821591348
Name:VELLIAN, ANJALY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANJALY
Middle Name:
Last Name:VELLIAN
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 1:827 DANIELS ST APT C
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-3105
Mailing Address - Country:US
Mailing Address - Phone:707-583-6843
Mailing Address - Fax:
Practice Address - Street 1:927 W MORGAN ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-1600
Practice Address - Country:US
Practice Address - Phone:919-703-0154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-11
Last Update Date:2018-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist