Individual ProviderRafael VeasyPharmacistPharmacy Service ProvidersPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397(903) 939-9298PECOS EnrollmentBased on the most recent information from CMS, provider Rafael Veasy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1841528973Provider TypeIndividualFull NameVeasy, RafaelGenderMaleSole ProprietorYesEnumeration Date12/1/2009Last Updated12/1/2009Contact InformationPractice LocationPractice Address5415 S Broadway Ave, Tyler, TX 75703-1397Phone(903) 939-9298Fax(903) 939-9323Mailing LocationMailing Address5415 S Broadway Ave, Tyler, TX 75703-1397Phone(903) 939-9298Fax(903) 939-9323Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense46496Texas