Provider Demographics
NPI:1750560694
Name:GARCIA, GLADYS M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GLADYS
Middle Name:M
Last Name:GARCIA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5562 HOBART ST
Mailing Address - Street 2:APT. 215
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1975
Mailing Address - Country:US
Mailing Address - Phone:201-240-8872
Mailing Address - Fax:
Practice Address - Street 1:900 MOUNT ROYAL BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1060
Practice Address - Country:US
Practice Address - Phone:412-487-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-28
Last Update Date:2007-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist