Provider Demographics
NPI:1275065799
Name:GARCES ORTIZ, LIZ MARIE (PHARMD, RPH)
Entity Type:Individual
Prefix:MISS
First Name:LIZ
Middle Name:MARIE
Last Name:GARCES ORTIZ
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARR 167 AVE LAS CUMBRES PLAZA MAYOR
Mailing Address - Street 2:FARMACIA KMART 7788 - REXVILLE TOWN CENTER
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9212
Mailing Address - Country:US
Mailing Address - Phone:787-730-2615
Mailing Address - Fax:
Practice Address - Street 1:CARR.167 AVE.LAS CUMBRES PLAZA MAYOR
Practice Address - Street 2:KMART PHARMACY 7788 - REXVILLE TOWN CENTER
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-9212
Practice Address - Country:US
Practice Address - Phone:787-730-2615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6441183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist