Healthcare Provider Details

I. General information

NPI: 1982146791
Provider Name (Legal Business Name): ALEXANDRA GARCIA PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 11/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N EL CAMINO REAL
ENCINITAS CA
92024-1320
US

IV. Provider business mailing address

1010 N EL CAMINO REAL
ENCINITAS CA
92024-1320
US

V. Phone/Fax

Practice location:
  • Phone: 760-697-9107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: