Provider Demographics
NPI:1043500903
Name:GARCIA, ABBY FURR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:FURR
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 BETHEL RD SE
Mailing Address - Street 2:
Mailing Address - City:BOGUE CHITTO
Mailing Address - State:MS
Mailing Address - Zip Code:39629-9736
Mailing Address - Country:US
Mailing Address - Phone:601-757-8466
Mailing Address - Fax:
Practice Address - Street 1:820 BROOKWAY BLVD
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2642
Practice Address - Country:US
Practice Address - Phone:601-833-9063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist