Healthcare Provider Details

I. General information

NPI: 1750560694
Provider Name (Legal Business Name): GLADYS M GARCIA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2007
Last Update Date: 10/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MOUNT ROYAL BLVD
PITTSBURGH PA
15223-1060
US

IV. Provider business mailing address

5562 HOBART ST APT. 215
PITTSBURGH PA
15217-1975
US

V. Phone/Fax

Practice location:
  • Phone: 412-487-5706
  • Fax:
Mailing address:
  • Phone: 201-240-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP441970
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: