MEDICARE: CRISTINA ALEXANDRA GARCIA PHARMD, RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	65790	CA

General Provider Information

NPI Number	:	1134468838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA ALEXANDRA GARCIA PHARMD, RPH

Provider Business Mailing Address
First Line	:	1411 KETTNER BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2420
Country	:	US
Telephone Number	:	619-231-7405
Fax Number	:	619-237-8873

Provider Business Practice Location Address
First Line	:	1411 KETTNER BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2420
Country	:	US
Telephone Number	:	619-231-7405
Fax Number	:	619-237-8873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

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