Provider Demographics
NPI:1275816381
Name:GARCIA, SARA M (PHARM D)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 AVE L
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-3840
Mailing Address - Country:US
Mailing Address - Phone:319-372-8794
Mailing Address - Fax:319-372-8905
Practice Address - Street 1:2639 AVE L
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-3840
Practice Address - Country:US
Practice Address - Phone:319-372-8794
Practice Address - Fax:319-372-8905
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist