Blaze, Maria

Blaze, Maria is an sole proprietor health care provider with primary practice located at 1900 E Main St , Danville IL 61832-5100. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Psychiatric. Pharmacy Service Providers / Psychiatric is her primary health care specialty. Blaze, Maria can be contacted via phone (217) 554-3860.

Contact Information

Primary practice address
1900 E Main St Danville IL 61832-5100
Phone: (217) 554-3860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 55587 Texas
Pharmacy Service Providers / Psychiatric 1835P1300X 55587 Texas

Profile Details

NPI number 1528448339
LBN Legal business name Blaze, Maria
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2015
Last updated Mar 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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