Maria Luz Chavez
Individual provider Active NPI Pharmacy Technician · Oakwood, GA
NPI 1285780650 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285780650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 250100103031343 (GA)
- Practice address
- 4222 McEver Rd
Oakwood, GA 30566-2237 - Phone
- (770) 536-1099
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250100103031343 | GA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mimbs Drug Co Dba Dixie City Pharmacy # 2 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 250100103031343 | GA | Yes |
Addresses
Primary practice location
4222 McEver Rd
Oakwood, GA 30566-2237
Mailing address
209 Mincey Ave
Gainesville, GA 30501-6227
Phone (678) 897-1387
Other providers in Oakwood, GA
- Susan Elizabeth Burger
- Crystal Butler
- C Grace Corporation
- Susan Elaine Carpenter
- Jeffrey C Carstens
- Matthew Alexander Chin
- Chocolate Healing Arts Center
- Gregory Dale Clark
- Karla Cocom Jaynes
- David Leonard Cohen
All providers in Oakwood, GA · Pharmacy Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.