Provider Demographics
NPI:1639598360
Name:GARCIA, EDWARD (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:
Last Name:GARCIA
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 1:14523 SW 106TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2950
Mailing Address - Country:US
Mailing Address - Phone:267-988-5876
Mailing Address - Fax:
Practice Address - Street 1:1550 W 84TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3379
Practice Address - Country:US
Practice Address - Phone:786-703-5670
Practice Address - Fax:786-703-5657
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444157183500000X
NY042269183500000X
FLPS36478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist