Provider Demographics
NPI:1730556457
Name:MAZE, OLIVIA ADAMS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:ADAMS
Last Name:MAZE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:404 SPARKMAN ST NW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2326
Mailing Address - Country:US
Mailing Address - Phone:256-773-1998
Mailing Address - Fax:256-751-0625
Practice Address - Street 1:404 SPARKMAN ST NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2326
Practice Address - Country:US
Practice Address - Phone:256-773-1998
Practice Address - Fax:256-751-0625
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist