MEDICARE: DEBRA ANN GARZA RPH MBA

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	24542	TX

General Provider Information

NPI Number	:	1720375355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA ANN GARZA RPH MBA

Provider Business Mailing Address
First Line	:	18255 BLANCO RD
Second Line	:	TARGET STORE 1354
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4585
Country	:	US
Telephone Number	:	210-764-7972
Fax Number	:	210-764-7972

Provider Business Practice Location Address
First Line	:	18255 BLANCO RD
Second Line	:	TARGET STORE 1354
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4585
Country	:	US
Telephone Number	:	210-764-7972
Fax Number	:	210-764-7972

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

Provider Enumeration Date	:	07/04/2011
Last Update Date	:	07/04/2011

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