Provider Demographics
NPI:1801621750
Name:SUAREZ GARCIA, ALFREDO CAMILO (PHARMD)
Entity type:Individual
Prefix:
First Name:ALFREDO
Middle Name:CAMILO
Last Name:SUAREZ GARCIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4945 PURITAN CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-8356
Mailing Address - Country:US
Mailing Address - Phone:787-633-4843
Mailing Address - Fax:
Practice Address - Street 1:13817 WALSINGHAM RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3243
Practice Address - Country:US
Practice Address - Phone:727-593-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS67301183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist