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General NPI Number Information
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NPI Number | 1700341708
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Entity Type | Individual
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Provider Name | RICHARD GARCIA PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 1148 28TH ST SW
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City | WYOMING
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State | MI
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Zip | 49509-2855
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Country | US
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Telephone | 616-724-1944
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151021
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City | GRAND RAPIDS
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State | MI
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Zip | 49515-1021
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Country | US
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Telephone | 616-437-7353
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 5302413043
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License Number State | MI
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