Provider Demographics
NPI:1164747879
Name:GARBIN, DARLENE ELIZABETH
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:ELIZABETH
Last Name:GARBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RT 611 RR1 BOX 400
Mailing Address - Street 2:TANNERSVILLE PLAZA
Mailing Address - City:TANNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18372
Mailing Address - Country:US
Mailing Address - Phone:570-619-5413
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 400
Practice Address - Street 2:TANNERSVILLE PLAZA
Practice Address - City:TANNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18372-9037
Practice Address - Country:US
Practice Address - Phone:570-619-5413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039002-1183500000X
PARP036121L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist