Provider Demographics
NPI:1326220435
Name:GARLAND, GRETA VANDERVEER (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:VANDERVEER
Last Name:GARLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 PINE AVE SE
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:GA
Mailing Address - Zip Code:39842-2117
Mailing Address - Country:US
Mailing Address - Phone:229-389-1227
Mailing Address - Fax:
Practice Address - Street 1:974 PINE AVE SE
Practice Address - Street 2:
Practice Address - City:DAWSON
Practice Address - State:GA
Practice Address - Zip Code:39842-2117
Practice Address - Country:US
Practice Address - Phone:229-389-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist