Provider Demographics
NPI:1083318737
Name:GARCIA, ROWENA RAMOS (PHARMACY TECH)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:RAMOS
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHARMACY TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 QUINTANA RD
Mailing Address - Street 2:
Mailing Address - City:MORRO BAY
Mailing Address - State:CA
Mailing Address - Zip Code:93442-1940
Mailing Address - Country:US
Mailing Address - Phone:805-772-6198
Mailing Address - Fax:805-772-8081
Practice Address - Street 1:740 QUINTANA RD
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-1940
Practice Address - Country:US
Practice Address - Phone:805-772-6198
Practice Address - Fax:805-772-8081
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCT76144183700000X
CATCH76144183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician