MEDICARE: HALEY ANN GARLOCK

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	RP456788	PA

General Provider Information

NPI Number	:	1679200166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY ANN GARLOCK

Provider Business Mailing Address
First Line	:	6730 CITO RD
Second Line	:
City	:	MC CONNELLSBURG
State	:	PA
Zip	:	17233-8709
Country	:	US
Telephone Number	:	717-977-0355
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 E SHIRLEY ST
Second Line	:
City	:	MOUNT UNION
State	:	PA
Zip	:	17066-1625
Country	:	US
Telephone Number	:	814-542-4412
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	08/04/2022

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Directions to “ HALEY ANN GARLOCK ” Practice Location

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