Provider Demographics
NPI:1932829496
Name:PEREZ GARCES, ROMINA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ROMINA
Middle Name:
Last Name:PEREZ GARCES
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 1:9820 SILKY DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-3039
Mailing Address - Country:US
Mailing Address - Phone:502-851-4047
Mailing Address - Fax:
Practice Address - Street 1:9820 SILKY DOGWOOD CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-3039
Practice Address - Country:US
Practice Address - Phone:502-851-4047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY019471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist