Provider Demographics
NPI:1194991935
Name:SCHWARZ, MARIA L (RPH)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:L
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 PUTNEY RD STE 25
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-7169
Mailing Address - Country:US
Mailing Address - Phone:802-257-5592
Mailing Address - Fax:
Practice Address - Street 1:896 PUTNEY RD STE 25
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-7169
Practice Address - Country:US
Practice Address - Phone:802-257-5592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY45731183500000X
VT52949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01346501Medicaid