Provider Demographics
NPI:1740969757
Name:ZESCHITZ-GARRISON, MONICA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ELIZABETH
Last Name:ZESCHITZ-GARRISON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 MEMPHIS AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-1828
Mailing Address - Country:US
Mailing Address - Phone:915-777-9172
Mailing Address - Fax:
Practice Address - Street 1:1831 N LEE TREVINO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4107
Practice Address - Country:US
Practice Address - Phone:915-594-1129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist