Provider Demographics
NPI:1366043242
Name:GARLAND, CHARNITA JONES (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHARNITA
Middle Name:JONES
Last Name:GARLAND
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 1:5911 RICHMOND RD APT 6102
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1205
Mailing Address - Country:US
Mailing Address - Phone:870-403-4507
Mailing Address - Fax:
Practice Address - Street 1:109 MALONE DR
Practice Address - Street 2:
Practice Address - City:ARKADELPHIA
Practice Address - State:AR
Practice Address - Zip Code:71923-8111
Practice Address - Country:US
Practice Address - Phone:870-246-5431
Practice Address - Fax:870-246-5431
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty