Provider Demographics
NPI:1326323247
Name:O'GARRO, CANDICE JACQUELINE (RPH)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:JACQUELINE
Last Name:O'GARRO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 W BIRDIE LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-3110
Mailing Address - Country:US
Mailing Address - Phone:302-697-7435
Mailing Address - Fax:302-697-8593
Practice Address - Street 1:52 W BIRDIE LN
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962-3110
Practice Address - Country:US
Practice Address - Phone:302-697-7435
Practice Address - Fax:302-697-8593
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist