Provider Demographics
NPI:1447547112
Name:HEBEKA, MARIA CHRISTINA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CHRISTINA
Last Name:HEBEKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 HARFORD RD
Mailing Address - Street 2:STORE CVS 3366
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7712
Mailing Address - Country:US
Mailing Address - Phone:410-426-4701
Mailing Address - Fax:
Practice Address - Street 1:6910 HARFORD RD
Practice Address - Street 2:STORE CVS 3366
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7712
Practice Address - Country:US
Practice Address - Phone:410-426-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist