Provider Demographics
NPI:1194133058
Name:VEILLEUX, IRVING ROBERT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:IRVING
Middle Name:ROBERT
Last Name:VEILLEUX
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WALTERS RD
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-3043
Mailing Address - Country:US
Mailing Address - Phone:707-639-4982
Mailing Address - Fax:707-639-4983
Practice Address - Street 1:350 WALTERS RD
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-3043
Practice Address - Country:US
Practice Address - Phone:707-639-4982
Practice Address - Fax:707-639-4983
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70178183500000X
HIPH-3557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist