Provider Demographics
NPI:1033718697
Name:GRAF, CIARA MICHELLE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:MICHELLE
Last Name:GRAF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:CIARA
Other - Middle Name:MICHELLE
Other - Last Name:KELLOGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1132 ANNAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1647
Mailing Address - Country:US
Mailing Address - Phone:410-874-1460
Mailing Address - Fax:
Practice Address - Street 1:1015 RIPLEY ST STE B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-7479
Practice Address - Country:US
Practice Address - Phone:301-273-9526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26028154A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist