Provider Demographics
NPI:1174822324
Name:CHAVEZ-HINON, MARIA ANTONIA (RPH)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTONIA
Last Name:CHAVEZ-HINON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1404 NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-2320
Mailing Address - Country:US
Mailing Address - Phone:336-887-4927
Mailing Address - Fax:336-887-4932
Practice Address - Street 1:1404 NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2320
Practice Address - Country:US
Practice Address - Phone:336-887-4927
Practice Address - Fax:336-887-4932
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist