Provider Demographics
NPI:1144452608
Name:DAVIE, MAUREEN ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ANN
Last Name:DAVIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1180 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-3706
Mailing Address - Country:US
Mailing Address - Phone:716-656-0173
Mailing Address - Fax:716-656-0535
Practice Address - Street 1:1180 FRENCH RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-3706
Practice Address - Country:US
Practice Address - Phone:716-656-0173
Practice Address - Fax:716-656-0535
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist