Provider Demographics
NPI:1891718268
Name:HOGUE, VALERIE WILLIAMS (PHARMD, RPH, CDE)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:WILLIAMS
Last Name:HOGUE
Suffix:
Gender:F
Credentials:PHARMD, RPH, CDE
Other - Prefix:DR
Other - First Name:VALERIE
Other - Middle Name:NMN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, RPH, CDE
Mailing Address - Street 1:2712 ROCKY GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043
Mailing Address - Country:US
Mailing Address - Phone:410-203-9875
Mailing Address - Fax:410-203-9872
Practice Address - Street 1:2712 ROCKY GLEN WAY
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:410-203-9875
Practice Address - Fax:410-203-9872
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH28151835P1200X
MD141801835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy