Provider Demographics
NPI:1467075234
Name:BARGA, MARIA S (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:S
Last Name:BARGA
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 1:3465 YORK COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2675
Mailing Address - Country:US
Mailing Address - Phone:937-454-6290
Mailing Address - Fax:
Practice Address - Street 1:3465 YORK COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2675
Practice Address - Country:US
Practice Address - Phone:937-454-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist