Provider Demographics
NPI:1154574697
Name:GARCIA, YOLANDA (RPH)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 ESSEX ST APT 3J
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-7514
Mailing Address - Country:US
Mailing Address - Phone:201-438-1026
Mailing Address - Fax:201-438-1668
Practice Address - Street 1:299 STUYVESANT AVE
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1874
Practice Address - Country:US
Practice Address - Phone:201-438-1026
Practice Address - Fax:201-438-1668
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI023568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist