Provider Demographics
NPI:1598118689
Name:ZERVOS, MARIA (RPH)
Entity Type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:
Last Name:ZERVOS
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 1:1820 MERLOT DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5447
Mailing Address - Country:US
Mailing Address - Phone:610-730-7466
Mailing Address - Fax:
Practice Address - Street 1:601 S 25TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5336
Practice Address - Country:US
Practice Address - Phone:610-252-7405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045689L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist