Provider Demographics
NPI:1891828349
Name:GARRIDO, ROSA N (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:N
Last Name:GARRIDO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 LINDSEY CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8987
Mailing Address - Country:US
Mailing Address - Phone:561-333-6303
Mailing Address - Fax:
Practice Address - Street 1:12031 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4994
Practice Address - Country:US
Practice Address - Phone:561-793-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 39311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0483390896Medicare ID - Type Unspecified