Provider Demographics
NPI:1073090114
Name:GARCIA, DAVID (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GARCIA
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 1:109 HAZLE ST
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:PA
Mailing Address - Zip Code:18220-5001
Mailing Address - Country:US
Mailing Address - Phone:570-778-5012
Mailing Address - Fax:
Practice Address - Street 1:35 PLAZA DR
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-4405
Practice Address - Country:US
Practice Address - Phone:570-668-2481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-22
Last Update Date:2018-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist