Provider Demographics
NPI:1740751544
Name:GAROFOLI, ANDREW P (RPH)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:P
Last Name:GAROFOLI
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 1:170 BUCKAROO LN
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-9119
Mailing Address - Country:US
Mailing Address - Phone:814-355-2429
Mailing Address - Fax:
Practice Address - Street 1:170 BUCKAROO LN
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-9119
Practice Address - Country:US
Practice Address - Phone:814-355-2429
Practice Address - Fax:814-355-2506
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist