Provider Demographics
NPI:1063822534
Name:GARBE, DIANE LYNETTE (RPH)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:LYNETTE
Last Name:GARBE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 E SEIDLERS RD
Mailing Address - Street 2:
Mailing Address - City:KAWKAWLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48631-9742
Mailing Address - Country:US
Mailing Address - Phone:989-684-6341
Mailing Address - Fax:
Practice Address - Street 1:3360 TITTABAWASSEE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9453
Practice Address - Country:US
Practice Address - Phone:989-249-6033
Practice Address - Fax:989-249-6065
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020260261835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy