Provider Demographics
NPI:1114275559
Name:PAPOURAS-VOLAKIS, MARIA I (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:I
Last Name:PAPOURAS-VOLAKIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4085 LYON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4910
Mailing Address - Country:US
Mailing Address - Phone:614-459-8363
Mailing Address - Fax:
Practice Address - Street 1:4085 LYON DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-4910
Practice Address - Country:US
Practice Address - Phone:614-459-8363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03116148-1183500000X
MI5302026190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist