Provider Demographics
NPI:1174216881
Name:GAROFALO, GIANCARLO VALERIO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GIANCARLO
Middle Name:VALERIO
Last Name:GAROFALO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 OAKRIDGE AVE APT 3321
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-1840
Mailing Address - Country:US
Mailing Address - Phone:978-807-0290
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH ST STOP 8162
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-8162
Practice Address - Country:US
Practice Address - Phone:806-743-7649
Practice Address - Fax:806-743-4209
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71098183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist