Provider Demographics
NPI:1932338167
Name:HARPER-VELAZQUEZ, TIA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIA
Middle Name:MARIE
Last Name:HARPER-VELAZQUEZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:FDA 10903 NEW HAMPSHIRE AVE
Mailing Address - Street 2:WO51, ROOM 5180
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993-0001
Mailing Address - Country:US
Mailing Address - Phone:301-796-3301
Mailing Address - Fax:301-847-8745
Practice Address - Street 1:FDA 10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:WO51, ROOM 5180
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-0001
Practice Address - Country:US
Practice Address - Phone:301-796-3301
Practice Address - Fax:301-847-8745
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist