Provider Demographics
NPI:1598821092
Name:CHASE, MARIA CONACI (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CONACI
Last Name:CHASE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:ILLUMINATA
Other - Last Name:CONACI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:9710 E CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6212
Mailing Address - Country:US
Mailing Address - Phone:480-614-0643
Mailing Address - Fax:
Practice Address - Street 1:7909 S HARDY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1112
Practice Address - Country:US
Practice Address - Phone:800-955-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9994183500000X
CT5598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist