Provider Demographics
NPI:1285238642
Name:GARCIA, JOAQUIN III (PHARMD)
Entity type:Individual
Prefix:
First Name:JOAQUIN
Middle Name:
Last Name:GARCIA
Suffix:III
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 1:10425 WORTH CT
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-8313
Mailing Address - Country:US
Mailing Address - Phone:850-501-5220
Mailing Address - Fax:
Practice Address - Street 1:44 GULF BEACH HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-3618
Practice Address - Country:US
Practice Address - Phone:850-455-1373
Practice Address - Fax:850-455-9178
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist