Provider Demographics
NPI:1578152591
Name:GARAKANI, TONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:TONY
Middle Name:
Last Name:GARAKANI
Suffix:
Gender:M
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:PO BOX 2074
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8164
Mailing Address - Country:US
Mailing Address - Phone:972-837-5122
Mailing Address - Fax:903-405-4576
Practice Address - Street 1:232 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-3401
Practice Address - Country:US
Practice Address - Phone:903-482-5279
Practice Address - Fax:903-482-6851
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist