Provider Demographics
NPI:1083169411
Name:MAPLE, MARIA J (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:MAPLE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 N SHARON AMITY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7923
Mailing Address - Country:US
Mailing Address - Phone:704-535-9850
Mailing Address - Fax:
Practice Address - Street 1:2035 N SHARON AMITY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7923
Practice Address - Country:US
Practice Address - Phone:704-535-9850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24067183500000X
OH03233021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist