Provider Demographics
NPI:1386966281
Name:DUNKIN, MARIA P (PHARMD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:P
Last Name:DUNKIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 GATE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1954
Mailing Address - Country:US
Mailing Address - Phone:512-291-3938
Mailing Address - Fax:
Practice Address - Street 1:2660 GATE RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1954
Practice Address - Country:US
Practice Address - Phone:512-291-3938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00066113183500000X
AK1701183500000X
TX49716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist