Healthcare Provider Details

I. General information

NPI: 1942104245
Provider Name (Legal Business Name): ANDRES GARCIA CONCEPCION PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

463 LITTLE YORK MOUNT PLEASANT RD
MILFORD NJ
08848-2053
US

IV. Provider business mailing address

463 LITTLE YORK MOUNT PLEASANT RD
MILFORD NJ
08848-2053
US

V. Phone/Fax

Practice location:
  • Phone: 347-882-6614
  • Fax:
Mailing address:
  • Phone: 347-882-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074458
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04520100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: