Provider Demographics
NPI:1043397342
Name:GARCIA, RODOLFO N (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:RODOLFO
Middle Name:N
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 BARLITE BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1322
Mailing Address - Country:US
Mailing Address - Phone:210-924-6471
Mailing Address - Fax:210-924-6473
Practice Address - Street 1:7333 BARLITE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1322
Practice Address - Country:US
Practice Address - Phone:210-924-6471
Practice Address - Fax:210-924-6473
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist