MEDICARE: JOSUE GARCIA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	61170	TX

General Provider Information

NPI Number	:	1023604550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSUE GARCIA PHARMD

Provider Business Mailing Address
First Line	:	3503 FREDERICKSBURG RD STE 450
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3969
Country	:	US
Telephone Number	:	877-432-9355
Fax Number	:	866-466-0104

Provider Business Practice Location Address
First Line	:	3503 FREDERICKSBURG RD STE 450
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-3969
Country	:	US
Telephone Number	:	877-432-9355
Fax Number	:	866-466-0104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2020
Last Update Date	:	12/18/2020

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