Provider Demographics
NPI:1710194741
Name:GARNER, GAIL E (RPD)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:E
Last Name:GARNER
Suffix:
Gender:F
Credentials:RPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 RAINBOW DR # 5947
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-0001
Mailing Address - Country:US
Mailing Address - Phone:931-337-9384
Mailing Address - Fax:
Practice Address - Street 1:8456 HIGHWAY 111
Practice Address - Street 2:
Practice Address - City:BYRDSTOWN
Practice Address - State:TN
Practice Address - Zip Code:38549-6001
Practice Address - Country:US
Practice Address - Phone:931-864-3136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11547183500000X
MI23814183500000X
FL22407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist