Provider Demographics
NPI:1578145801
Name:GARCIA, ANA MARIA (PHT)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:MARIA
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 YAKIMA VALLEY HWY STE C1
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1289
Mailing Address - Country:US
Mailing Address - Phone:509-839-2711
Mailing Address - Fax:509-839-4768
Practice Address - Street 1:2010 YAKIMA VALLEY HWY STE C1
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1289
Practice Address - Country:US
Practice Address - Phone:509-839-2711
Practice Address - Fax:509-839-4768
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00072112183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician