Provider Demographics
NPI:1447071337
Name:GARCIA, ELIZABETH NAVARRETE
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NAVARRETE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 GARCIA LN NE
Mailing Address - Street 2:
Mailing Address - City:GLENNVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30427-8664
Mailing Address - Country:US
Mailing Address - Phone:912-321-2938
Mailing Address - Fax:912-654-2212
Practice Address - Street 1:111 E BARNARD ST
Practice Address - Street 2:
Practice Address - City:GLENNVILLE
Practice Address - State:GA
Practice Address - Zip Code:30427-1660
Practice Address - Country:US
Practice Address - Phone:912-654-2184
Practice Address - Fax:912-654-2212
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHTC021999183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician