Provider Demographics
NPI:1740306778
Name:YOUNG, MARIA CHRISTINA (BS PHARMACY)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CHRISTINA
Last Name:YOUNG
Suffix:
Gender:
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 871819
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-7519
Mailing Address - Country:US
Mailing Address - Phone:734-812-9129
Mailing Address - Fax:734-629-1717
Practice Address - Street 1:7288 N SHELDON RD STE A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2150
Practice Address - Country:US
Practice Address - Phone:734-812-9129
Practice Address - Fax:734-629-1717
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 261QH0100X
MI5302032186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No174H00000XOther Service ProvidersHealth Educator
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P60030OtherMASS IMMUNIZATION
MI0P57520OtherPTAN
MI1295918274OtherPHARMACY NPI
MI1740306778OtherNPI RPH