Provider Demographics
NPI:1457750218
Name:CHAMAS, CHIRAZ
Entity Type:Individual
Prefix:
First Name:CHIRAZ
Middle Name:
Last Name:CHAMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 S 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6502
Mailing Address - Country:US
Mailing Address - Phone:602-323-0583
Mailing Address - Fax:602-323-2891
Practice Address - Street 1:7550 S 19TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85041-6502
Practice Address - Country:US
Practice Address - Phone:602-323-0583
Practice Address - Fax:602-323-2891
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSO16049183500000X
FLPS29871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist