MEDICARE: JENNIFER GARZA CPHT

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	183700000X	Pharmacy Technician	164074	TX

General Provider Information

NPI Number	:	1689959249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GARZA CPHT

Provider Business Mailing Address
First Line	:	3513 SILVER SPUR DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-8159
Country	:	US
Telephone Number	:	678-480-7579
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 SILVER SPUR DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-8159
Country	:	US
Telephone Number	:	678-480-7579
Fax Number	:

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

Provider Enumeration Date	:	10/14/2011
Last Update Date	:	10/16/2023

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