Provider Demographics
NPI:1063512481
Name:WELCH, DEBRA K (RPH)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:K
Last Name:WELCH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 MOORES MILL RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2715
Mailing Address - Country:US
Mailing Address - Phone:410-879-8487
Mailing Address - Fax:
Practice Address - Street 1:VA MARYLAND HEALTHCARE SYSTEM
Practice Address - Street 2:BLDG 361 (PP-119)
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:410-642-1883
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist