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NPI Code Detail

MEDICARE: BROOKE GARCIA

MEDICARE: BROOKE GARCIA
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
1183500000XPharmacist2014025407MO
2183500000XPharmacist1-16600KS

General Provider Information

NPI Number : 1609284520
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE GARCIA
Provider Business Mailing Address
First Line : 7500 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1816
Country : US
Telephone Number : 816-444-4179
Fax Number :
Provider Business Practice Location Address
First Line : 7500 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1816
Country : US
Telephone Number : 816-444-4179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 04/08/2021

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Directions to “ BROOKE GARCIA ” Practice Location

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