MEDICARE: DR. CAMILLE ANGELA ANACTA 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	RP455280	PA
2	183500000X	Pharmacist	28RI04114100	NJ

General Provider Information

NPI Number	:	1063027795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAMILLE ANGELA ANACTA GARCIA PHARMD

Provider Business Mailing Address
First Line	:	3846 ETTA ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2822
Country	:	US
Telephone Number	:	443-835-0126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 ARCH ST STE 2600
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-2040
Country	:	US
Telephone Number	:	443-835-0126
Fax Number	:	855-301-6542

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

Provider Enumeration Date	:	09/10/2020
Last Update Date	:	04/05/2026

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