Healthcare Provider Details

I. General information

NPI: 1073423398
Provider Name (Legal Business Name): DR. MONICA GARDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 OWEN DR
FAYETTEVILLE NC
28304-3424
US

IV. Provider business mailing address

1638 OWEN DR APT 30
FAYETTEVILLE NC
28304-3424
US

V. Phone/Fax

Practice location:
  • Phone: 910-615-7895
  • Fax: 910-615-5288
Mailing address:
  • Phone: 910-615-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35020
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: