Provider Demographics
NPI:1356678338
Name:GARCIA, ERIC JONATHAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JONATHAN
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 SHETLAND RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-4323
Mailing Address - Country:US
Mailing Address - Phone:915-274-7903
Mailing Address - Fax:
Practice Address - Street 1:11950 BOB MITCHELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4553
Practice Address - Country:US
Practice Address - Phone:915-937-2760
Practice Address - Fax:915-937-2781
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44456183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist