Provider Demographics
NPI:1053535013
Name:HELBACH, MARIA THERESA DIXON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARIA THERESA
Middle Name:DIXON
Last Name:HELBACH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:THERESA
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:550 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-6525
Mailing Address - Country:US
Mailing Address - Phone:480-495-3358
Mailing Address - Fax:
Practice Address - Street 1:51 W 3RD ST
Practice Address - Street 2:SUITE 501
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2831
Practice Address - Country:US
Practice Address - Phone:480-317-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205883183500000X
AZ14644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist