Provider Demographics
NPI:1477005098
Name:GARCIA, JOEL ANTHONY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ANTHONY
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 1:1835 BUCHANAN ST
Mailing Address - Street 2:APT 102
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4097
Mailing Address - Country:US
Mailing Address - Phone:786-704-7128
Mailing Address - Fax:
Practice Address - Street 1:3400 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1036
Practice Address - Country:US
Practice Address - Phone:954-561-8771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 554401835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care