Provider Demographics
NPI:1457636771
Name:MAUZY, PAULA EILEEN (RPH)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:EILEEN
Last Name:MAUZY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 PENZANCE PL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8325
Mailing Address - Country:US
Mailing Address - Phone:317-876-3916
Mailing Address - Fax:317-876-3916
Practice Address - Street 1:3825 PENZANCE PL
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8325
Practice Address - Country:US
Practice Address - Phone:317-876-3916
Practice Address - Fax:317-876-3916
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014209A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist