Healthcare Provider Details

I. General information

NPI: 1700506433
Provider Name (Legal Business Name): GILMA DINORA GARCIA PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 HIGHWAY 133
CARBONDALE CO
81623-1833
US

IV. Provider business mailing address

905 HIGHWAY 133
CARBONDALE CO
81623-1833
US

V. Phone/Fax

Practice location:
  • Phone: 970-233-5208
  • Fax: 970-233-5209
Mailing address:
  • Phone: 970-233-5208
  • Fax: 970-233-5209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0024164
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number0024164
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0024164
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: