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NPI Code Detail

MEDICARE: CANDICE GARWOOD PHARM.D.

MEDICARE: CANDICE GARWOOD 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
11835P1200XPharmacotherapy Pharmacist5302036135MI

General Provider Information

NPI Number : 1619959707
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE GARWOOD PHARM.D.
Provider Business Mailing Address
First Line : 634 CONSTITUTION ST
Second Line :
City : CANTON
State : MI
Zip : 48188-6657
Country : US
Telephone Number : 734-394-2441
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line : DEPARTMENT OF PHARMACY
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-966-7883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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Directions to “ CANDICE GARWOOD PHARM.D.” Practice Location

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