Provider Demographics
NPI:1407020878
Name:GARCIA, MERCEDES PASCUAL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MERCEDES
Middle Name:PASCUAL
Last Name:GARCIA
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 1:1250 S MIAMI AVE
Mailing Address - Street 2:1406
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4100
Mailing Address - Country:US
Mailing Address - Phone:305-372-1185
Mailing Address - Fax:
Practice Address - Street 1:455 SW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3626
Practice Address - Country:US
Practice Address - Phone:305-643-6676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS16582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist