MEDICARE: DR. ELIZABETH GARCIA PHARM.D.

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	RPH37927	CA

General Provider Information

NPI Number	:	1215937529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH GARCIA PHARM.D.

Provider Business Mailing Address
First Line	:	4300 SONOMA BLVD
Second Line	:	SUITE 550
City	:	VALLEJO
State	:	CA
Zip	:	94589-2200
Country	:	US
Telephone Number	:	707-642-2284
Fax Number	:	707-642-9040

Provider Business Practice Location Address
First Line	:	4300 SONOMA BLVD
Second Line	:	SUITE 550
City	:	VALLEJO
State	:	CA
Zip	:	94589-2200
Country	:	US
Telephone Number	:	707-642-2284
Fax Number	:	707-642-9040

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	06/16/2008

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