Provider Demographics
NPI:1073144077
Name:GARMO, FALAH PHILIP
Entity Type:Individual
Prefix:MR
First Name:FALAH
Middle Name:PHILIP
Last Name:GARMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 N WIXOM RD
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-1411
Mailing Address - Country:US
Mailing Address - Phone:248-668-2261
Mailing Address - Fax:248-668-1159
Practice Address - Street 1:1585 N WIXOM RD
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-1411
Practice Address - Country:US
Practice Address - Phone:248-668-2261
Practice Address - Fax:248-668-1159
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302025072183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist