Provider Demographics
NPI:1710263199
Name:GARCIA, MANUEL JR (RPH)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:MANNY
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:2718 OWENS CROSS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3734
Mailing Address - Country:US
Mailing Address - Phone:281-448-3451
Mailing Address - Fax:
Practice Address - Street 1:2718 OWENS CROSS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3734
Practice Address - Country:US
Practice Address - Phone:281-448-3451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist