MEDICARE: DR. TIA MARIE HARPER-VELAZQUEZ PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14394	MD

General Provider Information

NPI Number	:	1932338167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIA MARIE HARPER-VELAZQUEZ PHARM.D.

Provider Business Mailing Address
First Line	:	FDA 10903 NEW HAMPSHIRE AVE
Second Line	:	WO51, ROOM 5180
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-3301
Fax Number	:	301-847-8745

Provider Business Practice Location Address
First Line	:	FDA 10903 NEW HAMPSHIRE AVE
Second Line	:	WO51, ROOM 5180
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-3301
Fax Number	:	301-847-8745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	07/09/2009

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