MEDICARE: ZACHARY GARNER RPH

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	63267	FL

General Provider Information

NPI Number	:	1902577794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY GARNER RPH

Provider Business Mailing Address
First Line	:	2336 LAUREL RD E UNIT 6110
Second Line	:
City	:	NORTH VENICE
State	:	FL
Zip	:	34275-3537
Country	:	US
Telephone Number	:	727-265-6221
Fax Number	:

Provider Business Practice Location Address
First Line	:	1251 S TOLEDO BLADE BLVD
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34288-2410
Country	:	US
Telephone Number	:	941-240-5536
Fax Number	:

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

Provider Enumeration Date	:	09/22/2021
Last Update Date	:	10/28/2021

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