Provider Demographics
NPI:1649564501
Name:GARFINKEL, GEORGE (RPH)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:GARFINKEL
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 1:430 BLUE RAVINE RD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3402
Mailing Address - Country:US
Mailing Address - Phone:916-850-1195
Mailing Address - Fax:916-850-1195
Practice Address - Street 1:430 BLUE RAVINE RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3402
Practice Address - Country:US
Practice Address - Phone:916-850-1195
Practice Address - Fax:916-850-1195
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist