Provider Demographics
NPI:1073008165
Name:GARLAND, SCOTT GAVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:GAVIN
Last Name:GARLAND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 SW WILLISTON RD APT 822
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-4028
Mailing Address - Country:US
Mailing Address - Phone:561-935-7536
Mailing Address - Fax:
Practice Address - Street 1:1707 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3650
Practice Address - Country:US
Practice Address - Phone:352-265-9553
Practice Address - Fax:352-265-9586
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL56411835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory CareGroup - Multi-Specialty