Provider Demographics
NPI:1366673345
Name:GARCIA, RAUL DANIEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:DANIEL
Last Name:GARCIA
Suffix:
Gender:M
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 1:2609 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-4863
Mailing Address - Country:US
Mailing Address - Phone:505-660-7946
Mailing Address - Fax:
Practice Address - Street 1:2609 7TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4863
Practice Address - Country:US
Practice Address - Phone:505-660-7946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist