Provider Demographics
NPI:1154800746
Name:GARBER, DUSTIN (PHARMD)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:GARBER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 BRIDGE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PEQUEA
Mailing Address - State:PA
Mailing Address - Zip Code:17565-9300
Mailing Address - Country:US
Mailing Address - Phone:717-669-7439
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE STREET
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441099183500000X
PARPI0002631835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care