Provider Demographics
NPI:1730473000
Name:MAKARICH, MARIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MAKARICH
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 1:4200 KENT RD
Mailing Address - Street 2:T-0988
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-4325
Mailing Address - Country:US
Mailing Address - Phone:330-688-7450
Mailing Address - Fax:330-688-7450
Practice Address - Street 1:4200 KENT RD
Practice Address - Street 2:T-0988
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4325
Practice Address - Country:US
Practice Address - Phone:330-688-7450
Practice Address - Fax:330-688-7450
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist