Provider Demographics
NPI:1053954750
Name:VEILLARD, REGINE BELIARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REGINE
Middle Name:BELIARD
Last Name:VEILLARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:REGINE
Other - Middle Name:
Other - Last Name:BELIARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-2108
Mailing Address - Country:US
Mailing Address - Phone:631-834-4949
Mailing Address - Fax:
Practice Address - Street 1:2112 DUNDALK AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-3714
Practice Address - Country:US
Practice Address - Phone:410-288-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD220651835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care