Provider Demographics
NPI:1063163582
Name:GARRETY, ABBY (PHARMD)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:GARRETY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:RENEE
Other - Last Name:CHUSTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:SELLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85634-0548
Mailing Address - Country:US
Mailing Address - Phone:520-383-7350
Mailing Address - Fax:
Practice Address - Street 1:HIGHWAY 86 AT TOPAWA ROAD
Practice Address - Street 2:
Practice Address - City:SELLS
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:520-383-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS025466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist