Provider Demographics
NPI:1366740516
Name:VELTMAN, PATRICK GILBERT JR (RPH)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:GILBERT
Last Name:VELTMAN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12313 BOXFORD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-3276
Mailing Address - Country:US
Mailing Address - Phone:804-683-8112
Mailing Address - Fax:
Practice Address - Street 1:12313 BOXFORD LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-3276
Practice Address - Country:US
Practice Address - Phone:804-683-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist