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NPI Code Detail

MEDICARE: NICHOLAS JAMES GARCIA PHARMD

MEDICARE: NICHOLAS JAMES 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
1183500000XPharmacistPS57987FL

General Provider Information

NPI Number : 1649826546
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS JAMES GARCIA PHARMD
Provider Business Mailing Address
First Line : 15160 SPRINGVIEW ST
Second Line :
City : TAMPA
State : FL
Zip : 33624-2332
Country : US
Telephone Number : 813-468-8060
Fax Number :
Provider Business Practice Location Address
First Line : 15151 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-1818
Country : US
Telephone Number : 813-265-3288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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