Provider Demographics
NPI:1922371673
Name:GARBETT, TERESA MARIE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:MARIE
Last Name:GARBETT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:TERESA
Other - Middle Name:MARIE
Other - Last Name:GARBETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2 SUNSET HILLS EXECUTIVE PARK DR.
Mailing Address - Street 2:ADDICTION TREATMENT STRATEGIES
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62025
Mailing Address - Country:US
Mailing Address - Phone:618-692-6880
Mailing Address - Fax:314-667-3108
Practice Address - Street 1:2 SUNSET HILLS EXECUTIVE PARK DR.
Practice Address - Street 2:ADDICTION TREATMENT STRATEGIES
Practice Address - City:EDWARDSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62025
Practice Address - Country:US
Practice Address - Phone:618-692-6880
Practice Address - Fax:314-667-3108
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1803004715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist