Provider Demographics
NPI:1497350342
Name:GARCIA, ARIANNA OLMO (RPH)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:OLMO
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:
Other - Last Name:OLMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 W 62ND ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2643
Mailing Address - Country:US
Mailing Address - Phone:786-399-3487
Mailing Address - Fax:
Practice Address - Street 1:2391 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-6816
Practice Address - Country:US
Practice Address - Phone:305-820-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist