Provider Demographics
NPI:1104269372
Name:GARMA LLC
Entity type:Organization
Organization Name:GARMA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:KISHFY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:401-440-3936
Mailing Address - Street 1:465 LONSDALE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-1874
Mailing Address - Country:US
Mailing Address - Phone:401-475-5655
Mailing Address - Fax:401-475-2631
Practice Address - Street 1:38 EAST AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4004
Practice Address - Country:US
Practice Address - Phone:401-440-3936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy